Individual
ERIC GUNNOE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
22 BRAMHALL ST, PORTLAND, ME 04102
(207) 662-2179
(207) 662-6326
Mailing address
190 RIVERSIDE ST, SUITE 6B, PORTLAND, ME 04103-1073
(207) 661-2000
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
014033
ME
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
014033
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
432745699
—
ME
Enumeration date
07/12/2007
Last updated
04/26/2017
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