Individual
MAROULLA GLEATON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
227 EASTERN AVE, AUGUSTA, ME 04330-5951
(207) 622-3185
(207) 622-5697
Mailing address
227 EASTERN AVE, AUGUSTA, ME 04330-5951
(207) 622-3185
(207) 622-5697
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
012370
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
106370000
—
ME
Enumeration date
02/27/2006
Last updated
03/05/2015
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