DR. Jacob Emerson Crothers, M.D.

NPI #1336433085 in Portland, Maine

Provider Information

NPI Number: 1336433085
Entity Type: Individual
Name: DR. Jacob Emerson Crothers, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Preventive Medicine - Addiction Medicine
Credential: M.D.
Enumeration Date: May 30, 2011
Last Updated: Jan 26, 2022

Practice Location

Address: 222 SAINT JOHN ST STE 322
City: Portland
State: Maine
ZIP Code: 04102-3059
Phone: (207) 560-3422

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X
Family Medicine - Addiction Medicine — Addiction Medicine	207QA0401X
Preventive Medicine - Addiction Medicine — Addiction Medicine	2083A0300X	Primary

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