Provider Demographics
NPI:1538407408
Name:FRANCINE F. BLATTNER, MD.PA
Entity type:Organization
Organization Name:FRANCINE F. BLATTNER, MD.PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:FRANCINE
Authorized Official - Middle Name:F
Authorized Official - Last Name:BLATTNER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:207-761-5876
Mailing Address - Street 1:17 COLE FIELD RD
Mailing Address - Street 2:
Mailing Address - City:CAPE ELIZABETH
Mailing Address - State:ME
Mailing Address - Zip Code:04107-9676
Mailing Address - Country:US
Mailing Address - Phone:207-761-5876
Mailing Address - Fax:207-799-8156
Practice Address - Street 1:1486B BROADWAY
Practice Address - Street 2:
Practice Address - City:SOUTH PORTLAND
Practice Address - State:ME
Practice Address - Zip Code:04106-2602
Practice Address - Country:US
Practice Address - Phone:207-761-5876
Practice Address - Fax:207-799-8156
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-01-28
Last Update Date:2013-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ME0096832084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent PsychiatryGroup - Single Specialty