Individual
MARCO CORNELIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
25A JUNE ST STE 111, SANFORD, ME 04073-2642
(207) 490-7998
Mailing address
PO BOX 99, LINCOLN, ME 04457-0099
(207) 794-6700
(207) 794-6777
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
244361
MA
207Q00000X
Family Medicine Physician
Primary
MD19692
ME
Other
Enumeration date
06/01/2010
Last updated
07/18/2019
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