Casco Bay Direct Primary Care

NPI #1679251946 in South Portland, Maine

Provider Information

NPI Number: 1679251946
Entity Type: Organization
Organization Name: Casco Bay Direct Primary Care
Primary Specialty: Internal Medicine
Enumeration Date: Jul 7, 2023
Last Updated: Jul 7, 2023

Practice Location

Address: 100 BRICKHILL AVE
City: South Portland
State: Maine
ZIP Code: 04106-1999
Phone: (207) 407-5027

Authorized Official

Name: JENNIFER BEALL, MD
Title: PHYSICIAN/OWNER
Phone: (207) 407-5027

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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