Healthcare Provider Details

I. General information

NPI: 1023713534
Provider Name (Legal Business Name): DYLAN JOSEPH MARKEY MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/03/2023
Last Update Date: 07/10/2026
Certification Date: 07/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 MAIN ST
LEWISTON ME
04240-7041
US

IV. Provider business mailing address

14 MAINE ST STE 44
BRUNSWICK ME
04011-2545
US

V. Phone/Fax

Practice location:
  • Phone: 207-795-0111
  • Fax: 207-755-5875
Mailing address:
  • Phone: 207-725-9065
  • Fax: 207-560-9904

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License NumberMD30275
License Number StateME

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: