Individual provider · NPI-1

Evan Barnathan, M.D.

Family Medicine · Portland, ME

NPI number1558773994
StatusActive
Last updated in NPPESJan 22, 2021

Details

NPI
1558773994
Entity type
Individual (NPI-1)
Name
Evan Barnathan
Credential
M.D.
Sex
Male
Sole proprietor
No
Enumeration date
May 20, 2014
Certification date
Jan 22, 2021
Last updated
Jan 22, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family MedicineMD21492MEYes

Practice location

22 Bramhall St
Portland, ME 04102-3134

Phone 207-662-0111

Mailing address

22 Bramhall St
Portland, ME 04102-3134

Phone 207-662-0111

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