Provider Demographics
NPI:1427248681
Name:ASBJORNSEN, CYNTHIA B (D O)
Entity type:Individual
Prefix:DR
First Name:CYNTHIA
Middle Name:B
Last Name:ASBJORNSEN
Suffix:
Gender:F
Credentials:D O
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 FODEN RD
Mailing Address - Street 2:SUITE 307 WEST
Mailing Address - City:SOUTH PORTLAND
Mailing Address - State:ME
Mailing Address - Zip Code:04106-2327
Mailing Address - Country:US
Mailing Address - Phone:207-221-7799
Mailing Address - Fax:207-221-3544
Practice Address - Street 1:100 FODEN RD
Practice Address - Street 2:SUITE 307 WEST
Practice Address - City:SOUTH PORTLAND
Practice Address - State:ME
Practice Address - Zip Code:04106-2327
Practice Address - Country:US
Practice Address - Phone:207-221-7799
Practice Address - Fax:207-221-3544
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-25
Last Update Date:2011-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ME2016202K00000X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes202K00000XAllopathic & Osteopathic PhysiciansPhlebology
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine