MEDICARE: JAMES H ZEITLIN MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	014314	ME

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier Issuer
1	018228	OTHER	ANTHEM
2	1041941	OTHER	AETNA
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1194794859
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAMES H ZEITLIN MD

Provider Business Mailing Address
First Line	:	100 GANNETT DR STE C
Second Line	:
City	:	SOUTH PORTLAND
State	:	ME
Zip	:	04106-5900
Country	:	US
Telephone Number	:	207-347-2947
Fax Number	:	207-874-2317

Provider Business Practice Location Address
First Line	:	84 MARGINAL WAY
Second Line	:	SUITE 700
City	:	PORTLAND
State	:	ME
Zip	:	04101-2443
Country	:	US
Telephone Number	:	207-774-5816
Fax Number	:	207-523-8597

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/15/2006
Last Update Date	:	03/04/2026

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Directions to “ JAMES H ZEITLIN MD” Practice Location

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