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Individual

DR. FRED LINCOLN AVERY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
85 BRUCE HILL RD, CUMBERLAND, ME 04021-3525
(207) 829-8274
Mailing address
100 BRICKHILL AVENUE, SUITE 303, SOUTH PORTLAND, ME 04106
(207) 773-0040
(207) 774-6501

Taxonomy

Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
012274
ME

Other

Enumeration date
07/20/2005
Last updated
02/08/2011
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