Intermed, PA

NPI #1295607836 in South Portland, Maine

Provider Information

NPI Number: 1295607836
Entity Type: Organization
Organization Name: Intermed, PA
Primary Specialty: Pediatrics
Enumeration Date: Sep 23, 2025
Last Updated: Sep 23, 2025

Practice Location

Address: 100 FODEN, WEST
City: South Portland
State: Maine
ZIP Code: 04106
Phone: (207) 523-3767

Authorized Official

Name: ROGER POITRAS
Title: CHIEF EXECUTIVE OFFICER
Phone: (207) 347-2947

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dermatology	207N00000X
Dermatology - MOHS-Micrographic Surgery — MOHS-Micrographic Surgery	207ND0101X
Otolaryngology	207Y00000X
Psychiatry & Neurology - Psychiatry — Psychiatry	2084P0800X
Audiologist	231H00000X
Pediatrics	208000000X	Primary

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