Jean Marie Antonucci, MD
NPI #1356347900 in Farmington, Maine
Provider Information
- NPI Number
- 1356347900
- Entity Type
- Individual
- Name
- Jean Marie Antonucci, MD
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Family Medicine
- Credential
- MD
- Enumeration Date
- Jun 27, 2005
- Last Updated
- Nov 15, 2011
Practice Location
- Address
- 115 MT BLUE CIR
- Address 2
- STE 2
- City
- Farmington
- State
- Maine
- ZIP Code
- 04938-6239
- Phone
- (207) 778-3313
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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