Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RA0201X | Internist - Allergy & Immunology | 014675 | ME |
NPI | 1710099486 |
---|---|
Provider Name | Dr. Calvin P. Fuhrmann |
First Address | Kennebunk, ME 04043-6630 |
Second Address | Kennebunk, ME 04043-6630 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 31/08/2006 |
Last Update Date | 21/05/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
027529 | ANTHEM (01) | ME |
2321880 | AETNA (01) | ME |
301480099 | (05) | ME |
B69472 | (02) | ME |
B694721 | HARVARD PILGRIM (01) | ME |