Melissa Park, Md Internal Medicine in Rockport - Specialist

Melissa Park, Md Internal Medicine - NPI 1114935855

Melissa Park, Md Internal Medicine is a Specialist in Rockport, Maine. Melissa Park, Md Internal Medicine practices all healthcare services and medical treatments related to Specialist. The NPI Number for Melissa Park, Md Internal Medicine is 1114935855. The last update date is 2020-08-22.

Melissa Park, Md Internal Medicine's current location address is 4 Glen Cove Dr, Rockport, Maine. You can contact this provider via phone number 2075942609 and fax number 2075944358. The mailing address for Melissa Park, Md Internal Medicine is 4 Glen Cove Dr, Rockport, Maine. To know further, please read the information below!

Provider Profile Detail

Provider Organization Melissa Park, Md Internal Medicine
Address 4 Glen Cove Dr, Rockport, Maine
Phone Number 2075942609
Fax Number 2075944358
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OFFICE MAN
Authorized Official Name Gresham Rae Shelly
Telephone Number 2075942609

NPI Number Detail

NPI Number 1114935855
Provider Enumeration Date 2006-08-04
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address 4 Glen Cove Dr
City Rockport
State Maine (ME)
Post Code 48564235
Phone Number 2075942609
Fax Number 2075944358

Provider's Primary Taxonomy Detail

Speciality Specialist
Taxonomy 174400000X
Licence No 15943
Definition:
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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FAQs about Melissa Park, Md Internal Medicine

What is the unique 10-digit identifier code assigned to Melissa Park, Md Internal Medicine by the Centers for Medicare & Medicaid Services?

The Melissa Park, Md Internal Medicine has been issued the NPI (National Provider Identifier) 1114935855 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you please provide the complete street address where Melissa Park, Md Internal Medicine is physically located?

The Melissa Park, Md Internal Medicine is physically situated at the following address: 4 Glen Cove Dr, Rockport, ME, 48564235.

What is the area of specialization for Melissa Park, Md Internal Medicine, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Melissa Park, Md Internal Medicine is Specialist, and the corresponding taxonomy code that categorizes this area of expertise is 174400000X.

On what date was the 1114935855 assigned to Melissa Park, Md Internal Medicine?

The Melissa Park, Md Internal Medicine was issued its 1114935855 on 2006-08-04, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details related to Melissa Park, Md Internal Medicine most recently updated or revised?

The information pertaining to Melissa Park, Md Internal Medicine, including its address, specialty, and other relevant details, was last updated or revised on 2020-08-22.

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