Individual
MELANIE P FITZSIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
584 ROOSEVELT TRAIL, WINDHAM, ME 04062
(207) 892-3233
(207) 893-0752
Mailing address
301 US ROUTE 1, SCARBOROUGH, ME 04074-7609
(207) 396-8600
(207) 396-8632
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD17419
ME
208000000X
Pediatrics Physician
MD17419
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30207092
—
NH
05
—
532621199
—
ME
Enumeration date
11/29/2006
Last updated
11/07/2018
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