Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 014642 | ME |
Y | 2080P0207X | Pediatric Hematology-Oncologist | 014642 | ME |
NPI | 1194759506 |
---|---|
Provider Name | Dr. Anne R Rossi |
First Address | South Portland, ME 04106-6143 |
Second Address | Scarborough, ME 04074-9692 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/07/2006 |
Last Update Date | 26/11/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
277240099 | (05) | ME |
30010360 | (05) | NH |
G46284 | (02) | ME |