Andrew J Candelore (NPI# 1649269952, PAC ID# 8325111941) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL PRACTICE.
Nation Provider ID (NPI) | 1649269952 |
PAC ID by PECOS | 8325111941 |
Professional Enrollment ID | I20080715000755 |
Full Name | Andrew J Candelore |
Address |
617 Us Route 1 Scarborough ME 04074-9714 |
Gender | M |
Graduation Year | 1973 |
Primary Specialty | GENERAL PRACTICE |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
200009 | MAINE MEDICAL CENTER |
200019 | SOUTHERN MAINE HEALTH CARE |
Address | Phone | Organization |
---|---|---|
617 Us Route 1, Scarborough, ME 04074-9714 |
Street Address |
617 US ROUTE 1 |
City | SCARBOROUGH |
State | ME |
Zip | 04074-9714 |
Name | Specialty | Organization | Address |
---|---|---|---|
Jill M Amundson | Optometry | Mobile Eye Care of Maine, LLC | 290 Us Route 1, Maine Veterans Home, Scarborough, ME 04074 |
Joshua J Iannetta | Osteopathic Manipulative Medicine | Iannetta Osteopathic Manipulation, 632 Us Route 1, Scarborough, ME 04074 | |
June C Destefano Tait | Physical Therapy | Scarborough Physical Therapy Associates Pa | 51 Us One Rte J, Scarborough, ME 04074 |
Robert D Sansonetti | Obstetrics/gynecology | 144 Us Route One, Scarborough, ME 04074 | |
Frank A Gentile | Physical Therapy | Scarborough Physical Therapy Associates Pa | 51 Us One Rte J, Scarborough, ME 04074 |
Sarah L Elia | Physical Therapy | Scarborough Physical Therapy Associates Pa | 51 Us One Rte J, Scarborough, ME 04074 |
Susan Ramsey | Physical Therapy | Scarborough Physical Therapy Associates Pa | 51 Us One Rte J, Scarborough, ME 04074 |
Susan S Thompson-brown | Physical Therapy | Scarborough Physical Therapy Associates Pa | 51 Us One Rte J, Scarborough, ME 04074 |
P Gretchen French | Physical Therapy | Scarborough Physical Therapy Associates Pa | 51 Us One Rte J, Scarborough, ME 04074 |
Sara H Merrill | Physical Therapy | Scarborough Physical Therapy Associates Pa | 51 Us One Rte J, Scarborough, ME 04074 |
Find all physicians in zip 04074 |
City | SCARBOROUGH |
Zip Code | 04074 |
Specialty | GENERAL PRACTICE |
City + Specialty | SCARBOROUGH + GENERAL PRACTICE |
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Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.