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Melissa Fuller

Audiologist in Portland, ME. Individual provider (NPI-1).

NPI number1992964076
StatusActive
Last updated in NPPESOct 24, 2018

Details

NPI
1992964076
Entity type
Individual (NPI-1)
Name
Melissa Fuller
Sex
Female
Sole proprietor
No
Enumeration date
Jun 4, 2008
Last updated
Oct 24, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
231H00000X AudiologistAP2382MEYes

Practice location

43 Baxter Blvd
Maine Medical Partners Otolaryngology
Portland, ME 04101

Phone 207-797-5753 · Fax 207-797-9571

Mailing address

54 Ash Swamp Rd
Scarborough, ME 04074-8939

Phone 207-303-8283

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