Individual
ROBERT C NEILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
193 MAIN ST, RIPLEY MEDICAL BLDG, NORWAY, ME 04268-5645
(207) 743-2544
(207) 743-5863
Mailing address
301C US ROUTE 1, SCARBOROUGH, ME 04074-9701
(207) 396-8600
(207) 396-8632
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
1000
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
125020099
—
ME
Enumeration date
07/14/2006
Last updated
06/27/2012
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