Joel L Botler in South Portland - Geriatric Medicine

Joel L Botler - NPI 1891764577

Joel L Botler is a Geriatric Medicine in South Portland, Maine. Joel L Botler practices all healthcare services and medical treatments related to Geriatric Medicine. The NPI Number for Joel L Botler is 1891764577. The last update date is 2011-03-03.

Joel L Botler's current location address is 100 Foden Rd, West, South Portland, Maine. You can contact this provider via phone number 2078280361 and fax number 2078741483. The mailing address for Joel L Botler is 100 Foden Rd, West, South Portland, Maine. To know further, please read the information below!

Provider Profile Detail

Provider Name Joel L Botler
Address 100 Foden Rd, West, South Portland, Maine
Phone Number 2078280361
Fax Number 2078741483
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1891764577
Provider Enumeration Date 2006-03-16
Last Updated Date 2011-03-03

Provider Mailing Address Detail

Address 100 Foden Rd, West
City South Portland
State Maine (ME)
Post Code 41062319
Phone Number 2078280361
Fax Number 2078741483

Provider's Primary Taxonomy Detail

Speciality Geriatric Medicine
Taxonomy 207Rg0300X
Licence No 10885
Definition:
An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the of

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
10554 ANTHEM
1040536 AETNA
290910099 ME --

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FAQs about Joel L Botler

What is the unique 10-digit identification code issued to Joel L Botler by the Centers for Medicare & Medicaid Services?

The Joel L Botler has been assigned the NPI (National Provider Identifier) 1891764577 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you please share the complete physical location address where Joel L Botler's facilities are situated?

The facilities of Joel L Botler are physically located at the following address: 100 Foden Rd, West, South Portland, ME, 41062319.

What is Joel L Botler's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Joel L Botler is Geriatric Medicine, and the taxonomy classification code that categorizes this area of expertise is 207Rg0300X.

On what date did the Joel L Botler receive the assignment of its 1891764577 from the Centers for Medicare & Medicaid Services?

The Joel L Botler was issued its 1891764577 by the Centers for Medicare & Medicaid Services on 2006-03-16.

When was the information pertaining to Joel L Botler most recently updated or revised?

The details related to Joel L Botler, including its address, specialty, and other relevant information, were last updated or revised on 2011-03-03.

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