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NPI Code Detail

MEDICARE: DR. JAMES EDWARD ESHLEMAN DO

MEDICARE:  DR. JAMES EDWARD ESHLEMAN  DO
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
1207Q00000XFamily Medicine Physician867ME

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1285630889
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JAMES EDWARD ESHLEMAN DO
Provider Business Mailing Address
First Line : 190 RIVERSIDE ST
Second Line : SUITE 6B
City : PORTLAND
State : ME
Zip : 04103-1073
Country : US
Telephone Number : 207-661-2000
Fax Number :
Provider Business Practice Location Address
First Line : 37 PALMER ST STE 3
Second Line :
City : CALAIS
State : ME
Zip : 04619-1341
Country : US
Telephone Number : 207-454-8195
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/28/2005
Last Update Date : 11/13/2019

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Directions to “ DR. JAMES EDWARD ESHLEMAN DO” Practice Location

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