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NPI Code Detail

MEDICARE: ANTHONY MCCANN M.D.

MEDICARE: ANTHONY MCCANN 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
12084P0800XPsychiatry Physician12319ME

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
212319OTHERMEMAINE MEDICAL LIC #

General Provider Information

NPI Number : 1528105756
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANTHONY MCCANN M.D.
Provider Business Mailing Address
First Line : 17 SOUTH ST
Second Line :
City : PORTLAND
State : ME
Zip : 04101-3914
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 17 SOUTH ST
Second Line :
City : PORTLAND
State : ME
Zip : 04101-3914
Country : US
Telephone Number : 207-775-5131
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/30/2007
Last Update Date : 07/09/2007

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Directions to “ ANTHONY MCCANN M.D.” Practice Location

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