Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RC0000X | Internist - Cardiovascular Disease | 010279 | ME |
NPI | 1023098951 |
---|---|
Provider Name | Dr. Warren D Alpern |
First Address | Scarborough, ME 04074-7133 |
Second Address | Scarborough, ME 04074-7133 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/01/2006 |
Last Update Date | 09/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
B86637 | (02) | ME |