Individual
JONATHAN L GASPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
149 MAIN ST, STE 2A, WINTHROP, ME 04364-1486
(207) 624-3800
(207) 624-3845
Mailing address
149 MAIN ST, STE 2A, WINTHROP, ME 04364-1486
(207) 624-3800
(207) 624-3845
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
018626
ME
207Q00000X
Family Medicine Physician
9601152
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5904978
—
NC
Enumeration date
07/10/2006
Last updated
10/16/2012
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