Andrew Phan is a Sports Medicine in Portland, Maine. Andrew Phan practices all healthcare services and medical treatments related to Sports Medicine. The NPI Number for Andrew Phan is 1619918307. The last update date is 2021-10-14.
Andrew Phan's current location address is 331 Veranda St, Portland, Maine. You can contact this provider via phone number 2078282402 and fax number 2078282425. The mailing address for Andrew Phan is 331 Veranda St, Portland, Maine. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Andrew Phan |
|---|---|
| Address | 331 Veranda St, Portland, Maine |
| Phone Number | 2078282402 |
| Fax Number | 2078282425 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1619918307 |
|---|---|
| Provider Enumeration Date | 2006-06-10 |
| Last Updated Date | 2021-10-14 |
Provider Mailing Address Detail
| Address | 331 Veranda St |
|---|---|
| City | Portland |
| State | Maine (ME) |
| Post Code | 41035545 |
| Phone Number | 2078282402 |
| Fax Number | 2078282425 |
Provider's Primary Taxonomy Detail
| Speciality | Sports Medicine |
|---|---|
| Taxonomy | 207Qs0010X |
| Licence No | MD16339 |
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Definition: A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 417270099 | ME | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Andrew Phan by the Centers for Medicare & Medicaid Services?
The Andrew Phan has been assigned the NPI (National Provider Identifier) 1619918307 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical address where Andrew Phan is geographically located?
The Andrew Phan is physically situated at the following location: 331 Veranda St, Portland, ME, 41035545.
What is the Andrew Phan's area of specialization and corresponding taxonomy classification?
The Andrew Phan's specialty field is Sports Medicine, and it falls under the taxonomy code 207Qs0010X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services assign the 1619918307 to Andrew Phan?
The Centers for Medicare & Medicaid Services assigned the 1619918307 to Andrew Phan on 2006-06-10.
When was the information regarding Andrew Phan most recently updated?
The details pertaining to the Andrew Phan, including its address, specialty, and other relevant information, were last refreshed on 2021-10-14.