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NPI Code Detail

MEDICARE: DR. CYNTHIA JO DECHENES M.D.

MEDICARE: DR. CYNTHIA JO DECHENES M.D.
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
1207Q00000XFamily Medicine PhysicianMD16944ME
2207Q00000XFamily Medicine Physician016944ME

General Provider Information

NPI Number : 1073502803
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CYNTHIA JO DECHENES M.D.
Provider Business Mailing Address
First Line : 329 MAINE ST STE A200
Second Line :
City : BRUNSWICK
State : ME
Zip : 04011-3310
Country : US
Telephone Number : 207-798-6200
Fax Number : 207-798-6290
Provider Business Practice Location Address
First Line : 329 MAINE ST STE A200
Second Line :
City : BRUNSWICK
State : ME
Zip : 04011-3310
Country : US
Telephone Number : 207-373-4700
Fax Number : 207-618-5688
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/14/2005
Last Update Date : 04/30/2024

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