Individual
MR. PAUL ALBERT
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
43 BAXTER BLVD, PORTLAND, ME 04101-1823
(207) 775-6381
(207) 775-3378
Mailing address
43 BAXTER BLVD, PORTLAND, ME 04101-1823
(207) 775-6381
(207) 775-3378
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT154
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
107634
AETNA INDIV PROV #
ME
01
—
M2990
CIGNA GROUP PROV NUMBER
ME
Enumeration date
05/03/2006
Last updated
07/09/2007
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