MEDICARE: JOSEPH H ANDERSON M.D.

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	208000000X	Pediatrics Physician	016413	ME

Other Identifiers

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

General Provider Information

NPI Number	:	1588756738
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOSEPH H ANDERSON M.D.

Provider Business Mailing Address
First Line	:	16 FAHEY ST
Second Line	:	SUITE 107
City	:	BELFAST
State	:	ME
Zip	:	04915-6029
Country	:	US
Telephone Number	:	207-338-4257
Fax Number	:	207-338-4258

Provider Business Practice Location Address
First Line	:	16 FAHEY ST
Second Line	:	SUITE 107
City	:	BELFAST
State	:	ME
Zip	:	04915-6029
Country	:	US
Telephone Number	:	207-338-4257
Fax Number	:	207-338-4258

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

Provider Enumeration Date	:	09/28/2006
Last Update Date	:	12/21/2011

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Directions to “ JOSEPH H ANDERSON M.D.” Practice Location

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