Basic Information
| Provider Information | |||||||||
| NPI: | 1669426151 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | DIONNE | ||||||||
| FirstName: | ANDREW | ||||||||
| MiddleName: | J | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 6 E CHESTNUT ST | ||||||||
| Address2: | MGHA HOSPITALIST PROGRAM | ||||||||
| City: | AUGUSTA | ||||||||
| State: | ME | ||||||||
| PostalCode: | 043305717 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2076261000 | ||||||||
| FaxNumber: | 2076217277 | ||||||||
| Practice Location | |||||||||
| Address1: | 6 E CHESTNUT ST | ||||||||
| Address2: | MGHA HOSPITALIST PROGRAM | ||||||||
| City: | AUGUSTA | ||||||||
| State: | ME | ||||||||
| PostalCode: | 043305717 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2076261000 | ||||||||
| FaxNumber: | 2076217277 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/20/2006 | ||||||||
| LastUpdateDate: | 09/25/2008 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208M00000X | 015892 | ME | Y | Allopathic & Osteopathic Physicians | Hospitalist |
ID Information
| ID | Type | State | Issuer | Description | 0061352 | 01 | ME | ANTHEM | OTHER | 313960099 | 05 | ME | MEDICAID | 7338005 | 01 | AETNA NON HMO | OTHER | P00221475 | 01 | RAILROAD MEDICARE | OTHER | 3840278 | 01 | AETNA HMO | OTHER | AA35723 | 01 | HARVARD PILGRIM | OTHER |