Provider Demographics
NPI:1073585857
Name:TEEL, ALLAN STURGUS (MD)
Entity Type:Individual
Prefix:DR
First Name:ALLAN
Middle Name:STURGUS
Last Name:TEEL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:68 CHAPMAN ST
Mailing Address - Street 2:
Mailing Address - City:DAMARISCOTTA
Mailing Address - State:ME
Mailing Address - Zip Code:04543-4614
Mailing Address - Country:US
Mailing Address - Phone:207-563-6623
Mailing Address - Fax:207-563-6625
Practice Address - Street 1:68 CHAPMAN ST
Practice Address - Street 2:
Practice Address - City:DAMARISCOTTA
Practice Address - State:ME
Practice Address - Zip Code:04543-4614
Practice Address - Country:US
Practice Address - Phone:207-563-6623
Practice Address - Fax:207-563-6625
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-02-06
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ME012495207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
8040186OtherCIGNA
3359026OtherAETNA
P00118608OtherRAILROAD MEDICARE
ME046765OtherANTHEM
B86457OtherHARVARD PILGRIM
MEMM2008Medicare ID - Type UnspecifiedMEDICARE
P00118608OtherRAILROAD MEDICARE