Dr. Maurice C Hothem
Family Doctor - Adult Medicine
222 Auburn St Suite 101
Portland
, Maine 04103-6004
Dr. Maurice C Hothem
Family Doctor - Adult Medicine
222 Auburn St Suite 101
Portland
, Maine 04103-6004
(207) 797-5730
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About
Features
Specialties
- Family Doctor - Adult Medicine
Languages spoken
- English
Location
First Address
- Dr. Maurice C Hothem
- 222 Auburn St Suite 101
- Portland, ME
- Zip : 04103-6004
- Fax : (207) 797-5730
- Phone : (207) 797-4141
Second Address
- Dr. Maurice C Hothem
- 222 Auburn St Suite 101
- Portland, ME
- Zip : 04103-6004
- Fax : (207) 797-5730
- Phone : (207) 797-4141
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207QA0505X | Family Doctor - Adult Medicine | 817 | ME |
National Provider Identifier
| NPI | 1275633646 |
|---|---|
| Provider Name | Dr. Maurice C Hothem |
| First Address | Portland, ME 04103-6004 |
| Second Address | Portland, ME 04103-6004 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 25/09/2006 |
| Last Update Date | 10/04/2008 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 000686 | ANTHEM (01) | ME |
| 1157390099 | (05) | ME |
| D93098 | (02) | ME |
| M9150 | CIGNA (01) | ME |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.