Provider Demographics
NPI:1528167137
Name:MCCRANN, CATHERINE HARTY (MD)
Entity type:Individual
Prefix:
First Name:CATHERINE
Middle Name:HARTY
Last Name:MCCRANN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:77 BATES ST
Mailing Address - Street 2:SUITE 200
Mailing Address - City:LEWISTON
Mailing Address - State:ME
Mailing Address - Zip Code:04240-7637
Mailing Address - Country:US
Mailing Address - Phone:207-784-5784
Mailing Address - Fax:207-784-1477
Practice Address - Street 1:77 BATES ST
Practice Address - Street 2:SUITE 200
Practice Address - City:LEWISTON
Practice Address - State:ME
Practice Address - Zip Code:04240-7637
Practice Address - Country:US
Practice Address - Phone:207-784-5784
Practice Address - Fax:207-784-1477
Is Sole Proprietor?:No
Enumeration Date:2006-09-21
Last Update Date:2010-10-26
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
ME018506207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
ME432706124Medicaid
ME432706124Medicaid
ME001774302Medicare PIN