MEDICARE: MICHAEL A BINETTE 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
1	207X00000X	Orthopaedic Surgery Physician	MD16324	ME

General Provider Information

NPI Number	:	1386643476
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHAEL A BINETTE M.D.

Provider Business Mailing Address
First Line	:	300 SOUTHBOROUGH DR
Second Line	:	SUITE 201
City	:	SOUTH PORTLAND
State	:	ME
Zip	:	04106-6914
Country	:	US
Telephone Number	:	207-661-2000
Fax Number	:

Provider Business Practice Location Address
First Line	:	49 SPRING ST
Second Line	:
City	:	SCARBOROUGH
State	:	ME
Zip	:	04074-8926
Country	:	US
Telephone Number	:	207-885-0011
Fax Number	:	207-885-5851

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

Provider Enumeration Date	:	07/20/2005
Last Update Date	:	11/07/2016

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