Provider Demographics
NPI:1699940072
Name:PERDUE, MAUREEN E (DO)
Entity type:Individual
Prefix:DR
First Name:MAUREEN
Middle Name:E
Last Name:PERDUE
Suffix:
Gender:F
Credentials:DO
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Mailing Address - Street 1:121 MEDICAL CENTER DR STE 2700
Mailing Address - Street 2:
Mailing Address - City:BRUNSWICK
Mailing Address - State:ME
Mailing Address - Zip Code:04011-2669
Mailing Address - Country:US
Mailing Address - Phone:207-721-8700
Mailing Address - Fax:207-536-6719
Practice Address - Street 1:121 MEDICAL CENTER DR STE 2700
Practice Address - Street 2:
Practice Address - City:BRUNSWICK
Practice Address - State:ME
Practice Address - Zip Code:04011-2669
Practice Address - Country:US
Practice Address - Phone:207-721-8700
Practice Address - Fax:207-536-6719
Is Sole Proprietor?:No
Enumeration Date:2008-04-25
Last Update Date:2025-01-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MEDO2376207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
ME1447226584-002Medicaid