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NPI Code Detail

MEDICARE: DONALD P ENDRIZZI MD

MEDICARE: DONALD P ENDRIZZI 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
1207XS0114XAdult Reconstructive Orthopaedic Surgery PhysicianMD12325ME

General Provider Information

NPI Number : 1740281625
Entity Type Code : Individual
Provider Name (Legal Business Name) : DONALD P ENDRIZZI MD
Provider Business Mailing Address
First Line : 301C US ROUTE 1
Second Line :
City : SCARBOROUGH
State : ME
Zip : 04074-9701
Country : US
Telephone Number : 207-396-8600
Fax Number : 207-396-8632
Provider Business Practice Location Address
First Line : 5 BUCKNAM RD
Second Line : SUITE 1D
City : FALMOUTH
State : ME
Zip : 04105-1392
Country : US
Telephone Number : 207-781-1551
Fax Number : 207-781-1552
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/02/2005
Last Update Date : 05/24/2012

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Directions to “ DONALD P ENDRIZZI MD” Practice Location

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