MEDICARE: MARSHALL ROB CHAMBERLIN 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	208M00000X	Hospitalist Physician	MD20716	ME
2	207R00000X	Internal Medicine Physician	MD20716	ME

General Provider Information

NPI Number	:	1003044488
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARSHALL ROB CHAMBERLIN MD

Provider Business Mailing Address
First Line	:	190 RIVERSIDE ST
Second Line	:	SUITE 6B
City	:	PORTLAND
State	:	ME
Zip	:	04103-1073
Country	:	US
Telephone Number	:	207-661-2000
Fax Number	:

Provider Business Practice Location Address
First Line	:	300 PROFESSIONAL DR
Second Line	:	SUITE 2B
City	:	SCARBOROUGH
State	:	ME
Zip	:	04074-8897
Country	:	US
Telephone Number	:	207-883-3491
Fax Number	:	207-885-5587

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

Provider Enumeration Date	:	06/24/2009
Last Update Date	:	03/30/2020

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