Organization · NPI-2

Andrew Candelore, DO

Family Medicine · Scarborough, ME

NPI number1700938388
StatusActive
Last updated in NPPESApr 10, 2008

Details

NPI
1700938388
Entity type
Organization (NPI-2)
Legal business name
Andrew Candelore, DO
Organization subpart
No
Enumeration date
Jan 17, 2007
Last updated
Apr 10, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine––Yes

Practice location

617 Us Route 1
Scarborough, ME 04074-9714

Phone 207-883-5149 · Fax 207-883-7885

Mailing address

617 Us Route 1
Scarborough, ME 04074-9714

Phone 207-883-5149 · Fax 207-883-7885

Authorized official

Sandy Candelore
Office Manager
2078835149

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