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Individual

MATTHEW PICARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
15 HOSPITAL DR, BRIDGTON, ME 04009-1156
(207) 647-3421
Mailing address
15 HOSPITAL DR, BRIDGTON, ME 04009-1156
(207) 647-3421

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA001280
ME
363A00000X
Physician Assistant

Other

Enumeration date
06/17/2011
Last updated
08/12/2014
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