Intermed, PA
NPI #1609755701 in South Portland, Maine
Provider Information
- NPI Number
- 1609755701
- Entity Type
- Organization
- Organization Name
- Intermed, PA
- Primary Specialty
- Family Medicine
- Enumeration Date
- Sep 2, 2025
- Last Updated
- Sep 23, 2025
Practice Location
- Address
- 100 FODEN RD, EAST
- City
- South Portland
- State
- Maine
- ZIP Code
- 04106-1715
- Phone
- (207) 874-1489
Authorized Official
- Name
- ROGER A. POITRAS
- Title
- CHIEF EXECUTIVE OFFICER
- Phone
- (207) 347-2853
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychiatry & Neurology - Psychiatry — Psychiatry |
| Family Medicine |
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