Organization
DERMATOLOGY ASSOCIATES, LLC
Active
Other names
Dermatology Associates LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RACHEL H GORMLEY M.D (MD/OWNER)
(207) 775-3526
Entity
Organization
Contact information
Practice address
50 SEWALL ST, PORTLAND, ME 04102-2624
(207) 775-3526
(207) 775-5658
Mailing address
50 SEWALL ST, PORTLAND, ME 04102-2624
(207) 775-3526
(207) 775-5658
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
131510100
—
ME
Enumeration date
05/16/2006
Last updated
06/12/2023
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