Individual
DR. JUSTINE MARIE ACHILLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
575 MAIN ST, GORHAM, ME 04038-2623
(207) 839-2559
Mailing address
PO BOX 9746, PORTLAND, ME 04104-5040
(207) 828-2449
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD26128
ME
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/21/2019
Last updated
09/28/2022
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