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NPI Code Detail

MEDICARE: DR. JORGE PINEIRO-VERGNE MD

MEDICARE: DR. JORGE PINEIRO-VERGNE MD
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
12084A0401XAddiction Medicine (Psychiatry & Neurology) PhysicianMD14897ME
2208000000XPediatrics PhysicianMD14897ME

Other Identifiers

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

General Provider Information

NPI Number : 1629091335
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JORGE PINEIRO-VERGNE MD
Provider Business Mailing Address
First Line : 140 ACADEMY ST
Second Line :
City : PRESQUE ISLE
State : ME
Zip : 04769-3102
Country : US
Telephone Number : 207-764-5437
Fax Number : 207-764-4760
Provider Business Practice Location Address
First Line : 11 NORTH ST
Second Line :
City : PRESQUE ISLE
State : ME
Zip : 04769-2296
Country : US
Telephone Number : 207-707-3001
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/25/2006
Last Update Date : 02/14/2024

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