Individual
DR. ANDREW POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
25 JUNE ST, SANFORD, ME 04073-2621
(207) 490-7450
Mailing address
25 JUNE ST, SANFORD, ME 04073-2621
(207) 490-7450
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
14432
NH
207P00000X
Emergency Medicine Physician
Primary
MD17213
ME
207P00000X
Emergency Medicine Physician
MD427442
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110084253A
—
MA
01
—
1902832751
ANTHEM BCBS
NH
05
—
30208814
—
NH
05
—
434379099
—
ME
01
—
AA154448
HARVARD PILGRIM
—
Enumeration date
06/23/2006
Last updated
04/13/2013
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