Healthcare Provider Details

I. General information

NPI: 1184668733
Provider Name (Legal Business Name): NORMAN L SYKES MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/15/2006
Last Update Date: 02/14/2024
Certification Date: 02/14/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8 WELLNESS DR
ROCKPORT ME
04856-4276
US

IV. Provider business mailing address

8 WELLNESS DR
ROCKPORT ME
04856-4276
US

V. Phone/Fax

Practice location:
  • Phone: 207-301-3750
  • Fax: 207-301-5375
Mailing address:
  • Phone: 207-301-3750
  • Fax: 207-301-5375

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License Number0016367
License Number StateME

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: