Allison L. Baysol, PA-C
Physician Assistant, Surgical in Portland, ME. Individual provider (NPI-1).
NPI number1023433000
StatusActive
Last updated in NPPESJul 2, 2024
Details
- NPI
- 1023433000
- Entity type
- Individual (NPI-1)
- Name
- Ms. Allison L. Baysol
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 27, 2014
- Certification date
- Jul 2, 2024
- Last updated
- Jul 2, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AS0400X | Physician Assistant, Surgical | PA1575 | ME | Yes |
| 207XX0005X | Orthopaedic Surgery, Sports Medicine | PA1575 | ME | |
| 363A00000X | Physician Assistant | PA4929 | MA | |
| 363A00000X | Physician Assistant | PA4929 | ME | |
| 363AM0700X | Physician Assistant, Medical | PA1575 | ME |
Other names
- Allison Gendron (Former Name)
Practice location
33 Sewall StPortland, ME 04102-2603
Phone 207-828-2100
Mailing address
324 Gannett Dr Ste 200South Portland, ME 04106-3266
Phone 207-482-7800 · Fax 207-783-6660
Other practice locations
119 Gannett Dr
South Portland, ME 04106-6942
South Portland, ME 04106-6942
Phone 207-773-0040
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