Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QA0505X | Family Doctor - Adult Medicine | 221291 | NY |
NPI | 1184713471 |
---|---|
Provider Name | Dr. Christopher W Meserve |
First Address | Topsham, ME 04086-1768 |
Second Address | Topsham, ME 04086-1768 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/10/2006 |
Last Update Date | 22/01/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
I02179 | (02) | ME |