Organization
MINUTECLINIC DIAGNOSTIC OF MAINE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBORAH PINCINCE (ADMINISTRATOR)
(401) 770-3813
Entity
Organization
Contact information
Practice address
51 MARKET ST, SOUTH PORTLAND, ME 04106-3617
(866) 389-2727
Mailing address
1 CVS DR, CREDENTIALING MC-2295, WOONSOCKET, RI 02895-6146
(866) 389-2727
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
—
—
207W00000X
Ophthalmology Physician
—
—
363A00000X
Physician Assistant
—
—
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
06/18/2015
Last updated
03/22/2022
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