Organization
INTERMED, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROGER A. POITRAS (CHIEF EXECUTIVE OFFICER)
(207) 347-2853
Entity
Organization
Contact information
Practice address
259 MAIN ST, YARMOUTH, ME 04096-6723
(207) 846-9013
(207) 523-8586
Mailing address
100 GANNETT DR, SUITE C, SOUTH PORTLAND, ME 04106-5900
(207) 828-0361
(207) 874-1483
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
208000000X
Pediatrics Physician
—
—
2084P0800X
Psychiatry Physician
—
—
225100000X
Physical Therapist
—
—
Other
Enumeration date
01/14/2015
Last updated
08/21/2025
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