George Richard Polkinghorn
Medical Oncology
81 Medical Center Dr Suite 1300
Brunswick
, Maine 04011-2690
George Richard Polkinghorn
Medical Oncology
81 Medical Center Dr Suite 1300
Brunswick
, Maine 04011-2690
(207) 885-7610
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About
Features
Specialties
- Medical Oncology
Languages spoken
- English
Location
First Address
- George Richard Polkinghorn
- Po Box 911
- Brattleboro, VT
- Zip : 05302-0911
- Fax : (207) 885-7610
- Phone : (207) 885-7601
Second Address
- George Richard Polkinghorn
- 81 Medical Center Dr Suite 1300
- Brunswick, ME
- Zip : 04011-2690
- Fax : (207) 729-2789
- Phone : (207) 729-1148
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RX0202X | Medical Oncology | 14286 | ME |
National Provider Identifier
| NPI | 1033182019 |
|---|---|
| Provider Name | George Richard Polkinghorn |
| First Address | Brattleboro, VT 05302-0911 |
| Second Address | Brunswick, ME 04011-2690 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 09/02/2006 |
| Last Update Date | 12/08/2010 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 335540099 | (05) | ME |
| 830006189 | RAILROAD MEDICARE (01) | ME |
| A93404 | (02) |
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.