Individual provider · NPI-1
Dr. Charles Joseph De Sieyes, M.D.
Family Medicine · Falmouth, ME
NPI number1083762181
StatusActive
Last updated in NPPESMay 25, 2014
Details
- NPI
- 1083762181
- Entity type
- Individual (NPI-1)
- Name
- Dr. Charles Joseph De Sieyes
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jan 8, 2007
- Last updated
- May 25, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 10240 | ME | Yes |
Other names
- Charles Joseph De Sieyes M.D. P.A. LLC (Professional Name)
Practice location
202 Us Route 1Suite 200
Falmouth, ME 04105-1121
Phone 207-781-4488 · Fax 207-781-4470
Mailing address
35 Old Powerhouse RdFalmouth, ME 04105-1615
Phone 207-749-1716 · Fax 207-781-7053
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