Individual
JAN M GORTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
16 FAHEY ST STE 107, BELFAST, ME 04915-6029
(207) 338-4257
(207) 338-4258
Mailing address
16 FAHEY ST STE 107, BELFAST, ME 04915-6029
(207) 338-4257
(207) 338-4258
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
014582
ME
Other
Enumeration date
06/08/2009
Last updated
11/02/2011
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