Individual
ALLISON ISRAEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
244 WESTERN AVE, SOUTH PORTLAND, ME 04106-2496
(207) 775-3446
(207) 879-4188
Mailing address
244 WESTERN AVE, SOUTH PORTLAND, ME 04106-2496
(207) 775-3446
(207) 879-4188
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
—
—
363AS0400X
Surgical Physician Assistant
Primary
PA2749
ME
Other
Enumeration date
04/26/2023
Last updated
01/20/2025
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