Individual
DR. PHILIP COURTNEY PTACIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
61 BARRA RD, BIDDEFORD, ME 04005-9459
(207) 283-1441
(207) 523-1136
Mailing address
PO BOX 9746, PORTLAND, ME 04104-5040
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
4301039477
MI
207Q00000X
Family Medicine Physician
Primary
MD21965
ME
Other
Enumeration date
09/20/2006
Last updated
09/22/2020
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