Healthcare Provider Details

I. General information

NPI: 1447432919
Provider Name (Legal Business Name): ROBERT P DOYLE, M.D., P.A.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/27/2007
Last Update Date: 11/27/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

87 S HIGH ST
BRIDGTON ME
04009-1123
US

IV. Provider business mailing address

87 S HIGH ST
BRIDGTON ME
04009-1123
US

V. Phone/Fax

Practice location:
  • Phone: 207-647-5786
  • Fax: 207-647-0918
Mailing address:
  • Phone: 207-647-5786
  • Fax: 207-647-0918

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number007273
License Number StateME
# 2
Primary TaxonomyN
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number007273
License Number StateME

VIII. Authorized Official

Name: CANDACE L MORGANS
Title or Position: OFFICE MANAGER
Credential:
Phone: 207-647-5786