Organization Name: | MARY DOWD MD, PA |
NPI Number: | 1114001047 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MARY DOWD (OWNER/PHYSICIAN) |
Mailing Address: | 26 School St Yarmouth |
State: | ME US |
Postal Code: | 040964709 |
Phone Number: | 2078466212 |
Fax Number: | 2078469191 |
NPI Enumeration Date: | 10/25/2006 |
NPI Last Update Date: | 12/30/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |