Provider Demographics
NPI:1184668733
Name:SYKES, NORMAN L (MD)
Entity Type:Individual
Prefix:DR
First Name:NORMAN
Middle Name:L
Last Name:SYKES
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 1:8 WELLNESS DR
Mailing Address - Street 2:
Mailing Address - City:ROCKPORT
Mailing Address - State:ME
Mailing Address - Zip Code:04856-4276
Mailing Address - Country:US
Mailing Address - Phone:207-301-3750
Mailing Address - Fax:207-301-5375
Practice Address - Street 1:8 WELLNESS DR
Practice Address - Street 2:
Practice Address - City:ROCKPORT
Practice Address - State:ME
Practice Address - Zip Code:04856-4276
Practice Address - Country:US
Practice Address - Phone:207-301-3750
Practice Address - Fax:207-301-5375
Is Sole Proprietor?:No
Enumeration Date:2006-06-15
Last Update Date:2024-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ME0016367207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
ME404580099Medicaid
MEG40692Medicare UPIN
ME404580099Medicaid
MEME043302Medicare PIN
MEME0433Medicare PIN