MEDICARE: NICHOLAS ANGELO POZZESSERE DO

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	207R00000X	Internal Medicine Physician	DO2765	ME
2	207RP1001X	Pulmonary Disease Physician	DO2765	ME
3	207RC0200X	Critical Care Medicine (Internal Medicine) Physician	DO2765	ME

General Provider Information

NPI Number	:	1336586452
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NICHOLAS ANGELO POZZESSERE DO

Provider Business Mailing Address
First Line	:	111 FRANKLIN HEALTH CMNS
Second Line	:
City	:	FARMINGTON
State	:	ME
Zip	:	04938-6144
Country	:	US
Telephone Number	:	207-779-2734
Fax Number	:	207-779-2157

Provider Business Practice Location Address
First Line	:	111 FRANKLIN HEALTH CMNS
Second Line	:
City	:	FARMINGTON
State	:	ME
Zip	:	04938-6144
Country	:	US
Telephone Number	:	207-779-2734
Fax Number	:	207-779-2157

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

Provider Enumeration Date	:	05/30/2013
Last Update Date	:	02/09/2026

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