Individual
NICOLE CHERBULIEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
96 CAMPUS DR, SUITE 2C, SCARBOROUGH, ME 04074-7163
(207) 883-7926
(207) 883-1925
Mailing address
300 SOUTHBOROUGH DR, SUITE 201, SOUTH PORTLAND, ME 04106-6914
(207) 661-2000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD14837
ME
208M00000X
Hospitalist Physician
MD14837
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
290210099
—
ME
05
—
30208173
—
NH
Enumeration date
10/03/2006
Last updated
04/09/2020
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