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NPI Code Detail

MEDICARE: DR. MARK ADAM BILLINGTON MD

MEDICARE:  DR. MARK ADAM BILLINGTON  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
1208600000XSurgery PhysicianMD08360ME

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1194721720
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MARK ADAM BILLINGTON MD
Provider Business Mailing Address
First Line : 140 ACADEMY ST
Second Line :
City : PRESQUE ISLE
State : ME
Zip : 04769-3102
Country : US
Telephone Number : 207-764-6310
Fax Number : 207-764-1898
Provider Business Practice Location Address
First Line : 140 ACADEMY ST
Second Line :
City : PRESQUE ISLE
State : ME
Zip : 04769-3102
Country : US
Telephone Number : 207-764-6310
Fax Number : 207-764-1898
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/28/2005
Last Update Date : 07/31/2013

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Directions to “ DR. MARK ADAM BILLINGTON MD” Practice Location

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