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NPI Code Detail

MEDICARE: JULIE SUAREZ MD

MEDICARE:   JULIE  SUAREZ  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
1207R00000XInternal Medicine PhysicianMD19325ME
2207R00000XInternal Medicine Physician204212NY
3208M00000XHospitalist PhysicianMD19325ME

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 : 1982697892
Entity Type Code : Individual
Provider Name (Legal Business Name) : JULIE SUAREZ MD
Provider Business Mailing Address
First Line : 5 HERON DR
Second Line :
City : YORK
State : ME
Zip : 03909-5852
Country : US
Telephone Number : 207-651-6530
Fax Number :
Provider Business Practice Location Address
First Line : 1 MEDICAL CENTER DR
Second Line :
City : BIDDEFORD
State : ME
Zip : 04005-9422
Country : US
Telephone Number : 207-283-7937
Fax Number : 207-283-7018
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/25/2005
Last Update Date : 05/16/2019

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