MEDICARE: DR. CAROLYN R PECE 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	207Q00000X	Family Medicine Physician	1697	ME

Other Identifiers

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

General Provider Information

NPI Number	:	1871523134
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CAROLYN R PECE DO

Provider Business Mailing Address
First Line	:	1 VA CTR
Second Line	:
City	:	AUGUSTA
State	:	ME
Zip	:	04330-6795
Country	:	US
Telephone Number	:	207-623-8411
Fax Number	:	207-626-4787

Provider Business Practice Location Address
First Line	:	1 VA CTR
Second Line	:
City	:	AUGUSTA
State	:	ME
Zip	:	04330-6795
Country	:	US
Telephone Number	:	207-623-8411
Fax Number	:	207-626-4787

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

Provider Enumeration Date	:	07/03/2006
Last Update Date	:	05/18/2023

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