Individual provider · NPI-1

Nicole Cherbuliez, MD

Family Medicine · Scarborough, ME

NPI number1932293578
StatusActive
Last updated in NPPESApr 9, 2020

Details

NPI
1932293578
Entity type
Individual (NPI-1)
Name
Nicole Cherbuliez
Credential
MD
Sex
Female
Sole proprietor
No
Enumeration date
Oct 3, 2006
Certification date
Apr 9, 2020
Last updated
Apr 9, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family MedicineMD14837MEYes
208M00000X HospitalistMD14837ME

Practice location

96 Campus Dr
Suite 2c
Scarborough, ME 04074-7163

Phone 207-883-7926 · Fax 207-883-1925

Mailing address

300 Southborough Dr
Suite 201
South Portland, ME 04106-6914

Phone 207-661-2000

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