MARK A DEBIASIO

SOUTH PORTLAND, ME
NPI1720243678
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AS0400X Physician Assistant, Surgical
(Licence: ME  PA1239)
Enumeration Date2008-07-21
Last Update Date2024-04-15
Business Address
MARK A DEBIASIO PA-C
119 GANNETT DR
SOUTH PORTLAND, ME 04106-6942
Phone number: 207-773-0040
Mailing Address
MARK A DEBIASIO PA-C
190 RIVERSIDE ST SUITE 6B
PORTLAND, ME 04103-1073
Phone number: 207-661-2000