MEDICARE: DOWNEAST MEDICAL ASSOCIATES, INC.

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	208C00000X	Colon & Rectal Surgery Physician
2	208600000X	Surgery Physician

Other Identifiers

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

General Provider Information

NPI Number	:	1215981790
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DOWNEAST MEDICAL ASSOCIATES, INC.

Provider Business Mailing Address
First Line	:	PO BOX 317
Second Line	:
City	:	MACHIAS
State	:	ME
Zip	:	04654-0317
Country	:	US
Telephone Number	:	207-255-6831
Fax Number	:	207-255-6832

Provider Business Practice Location Address
First Line	:	229 MAIN ST
Second Line	:	SUITE 1
City	:	MACHIAS
State	:	ME
Zip	:	04654-3606
Country	:	US
Telephone Number	:	207-255-6831
Fax Number	:	207-255-6832

Authorized Official
Title or Position	:	PRESIDENT
Name	:	AZIZ A. MASSAAD
Credential	:	M.D.
Telephone Number	:	207-255-6831

Provider Enumeration Date	:	05/20/2006
Last Update Date	:	12/06/2011

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