Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RC0200X | Critical Care Medicine | DO2816 | ME |
N | 207RP1001X | Pulmonary Disease | DO2816 | ME |
NPI | 1043630163 |
---|---|
Provider Name | Dr. Joseph Foley Scrobola |
First Address | Portland, ME 04102-2779 |
Second Address | Portland, ME 04102-2779 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/04/2014 |
Last Update Date | 28/01/2022 |