Intermed, PA

NPI #1467422733 in South Portland, Maine

Provider Information

NPI Number: 1467422733
Entity Type: Organization
Organization Name: Intermed, PA
Primary Specialty: Internal Medicine
Enumeration Date: Jan 26, 2006
Last Updated: Oct 10, 2025

Practice Location

Address: 100 GANNETT DR
Address 2: SUITE C
City: South Portland
State: Maine
ZIP Code: 04106-5900
Phone: (207) 828-0361

Authorized Official

Name: ROGER A. POITRAS
Title: CHIEF EXECUTIVE OFFICER
Phone: (207) 347-2853

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X
Physical Therapist	225100000X
Dermatology	207N00000X
General Practice	208D00000X
Psychiatry & Neurology - Psychiatry — Psychiatry	2084P0800X
Obstetrics & Gynecology	207V00000X
Anesthesiology	207L00000X
Internal Medicine - Cardiovascular Disease — Cardiovascular Disease	207RC0000X
Family Medicine	207Q00000X
Psychiatry & Neurology - Neurology — Neurology	2084N0400X
Otolaryngology	207Y00000X
Family Medicine - Sports Medicine — Sports Medicine	207QS0010X
Internal Medicine	207R00000X	Primary

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