Individual
MR. ANDREW F SCICHILONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
335 BRIGHTON AVE, SUITE 200, PORTLAND, ME 04102-2363
(207) 662-8600
(207) 662-8668
Mailing address
190 RIVERSIDE ST, SUITE 6B, PORTLAND, ME 04103-1073
(207) 661-2093
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA1672
ME
Other
Enumeration date
02/07/2017
Last updated
04/26/2017
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