Individual
MR. PHILIP C GAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
180 PARK AVE, PORTLAND, ME 04102-2957
(207) 874-2141
(207) 874-2164
Mailing address
180 PARK AVE, PORTLAND, ME 04102-2957
(207) 874-2141
(207) 874-2164
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
A094979
IA
363LF0000X
Family Nurse Practitioner
Primary
CNP81900
ME
363LF0000X
Family Nurse Practitioner
R054840
ME
Other
Enumeration date
10/02/2006
Last updated
12/04/2017
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