MEDICARE: CAITLYN DESIR 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	208800000X	Urology Physician	MD30528	ME

General Provider Information

NPI Number	:	1902483340
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CAITLYN DESIR MD

Provider Business Mailing Address
First Line	:	81 MEDICAL CENTER DR STE 2350
Second Line	:
City	:	BRUNSWICK
State	:	ME
Zip	:	04011-2780
Country	:	US
Telephone Number	:	207-373-6690
Fax Number	:	207-956-5194

Provider Business Practice Location Address
First Line	:	81 MEDICAL CENTER DR STE 2350
Second Line	:
City	:	BRUNSWICK
State	:	ME
Zip	:	04011-2780
Country	:	US
Telephone Number	:	207-373-6690
Fax Number	:	207-956-5194

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

Provider Enumeration Date	:	03/24/2021
Last Update Date	:	06/25/2026

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Directions to “ CAITLYN DESIR MD” Practice Location

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