Organization
INTERMED, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROGER POITRAS (CHIEF EXECUTIVE OFFICER)
(207) 347-2947
Entity
Organization
Contact information
Practice address
259 MAIN ST, YARMOUTH, ME 04096-6723
(207) 846-9013
(855) 576-4814
Mailing address
100 GANNETT DR STE C, SOUTH PORTLAND, ME 04106-5900
(207) 347-2947
(207) 874-2317
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
06/10/2026
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