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NPI Code Detail

MEDICARE: ANNE K. ROLFSON P.A.-C.

MEDICARE: ANNE K. ROLFSON P.A.-C.
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
1363AS0400XSurgical Physician AssistantPA-892ME

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3100263OTHERMEANTHEM

General Provider Information

NPI Number : 1235167172
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANNE K. ROLFSON P.A.-C.
Provider Business Mailing Address
First Line : 20 NORTHBROOK DR
Second Line :
City : FALMOUTH
State : ME
Zip : 04105-1318
Country : US
Telephone Number : 207-781-4424
Fax Number :
Provider Business Practice Location Address
First Line : 20 NORTHBROOK DR
Second Line :
City : FALMOUTH
State : ME
Zip : 04105-1318
Country : US
Telephone Number : 207-781-4424
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/29/2006
Last Update Date : 07/21/2015

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Directions to “ ANNE K. ROLFSON P.A.-C.” Practice Location

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