Provider Demographics
NPI:1073502803
Name:DECHENES, CYNTHIA JO (MD)
Entity type:Individual
Prefix:DR
First Name:CYNTHIA
Middle Name:JO
Last Name:DECHENES
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:329 MAINE ST STE A200
Mailing Address - Street 2:
Mailing Address - City:BRUNSWICK
Mailing Address - State:ME
Mailing Address - Zip Code:04011-3310
Mailing Address - Country:US
Mailing Address - Phone:207-798-6200
Mailing Address - Fax:207-798-6290
Practice Address - Street 1:329 MAINE ST STE A200
Practice Address - Street 2:
Practice Address - City:BRUNSWICK
Practice Address - State:ME
Practice Address - Zip Code:04011-3310
Practice Address - Country:US
Practice Address - Phone:207-373-4700
Practice Address - Fax:207-618-5688
Is Sole Proprietor?:No
Enumeration Date:2005-10-14
Last Update Date:2024-04-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MEMD16944207Q00000X
ME016944207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MEME2230Medicare PIN