Individual
DR. ANDREA PALENCAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
66 BRAMHALL ST, PORTLAND, ME 04102-3344
(207) 662-3157
(207) 662-6434
Mailing address
300 SOUTHBOROUGH DR, SUITE 201, SOUTH PORTLAND, ME 04106-6914
(207) 661-2000
(207) 661-2033
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD19476
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0019474120004
—
PA
01
—
002797
FIRST PRIORITY HEALTH
PA
01
—
1489226
HIGHMARK BLUE SHIELD
PA
01
—
H41977
HEALTHAMERICA
PA
Enumeration date
07/20/2006
Last updated
05/11/2016
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