Provider Demographics
NPI:1962453670
Name:MASLINSKI, PANTCHO G (MD)
Entity Type:Individual
Prefix:
First Name:PANTCHO
Middle Name:G
Last Name:MASLINSKI
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 1:233 YORK ST
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:ME
Mailing Address - Zip Code:03909-1047
Mailing Address - Country:US
Mailing Address - Phone:207-351-3987
Mailing Address - Fax:207-351-3478
Practice Address - Street 1:233 YORK ST
Practice Address - Street 2:
Practice Address - City:YORK
Practice Address - State:ME
Practice Address - Zip Code:03909-1047
Practice Address - Country:US
Practice Address - Phone:207-351-3987
Practice Address - Fax:207-351-3478
Is Sole Proprietor?:No
Enumeration Date:2006-05-15
Last Update Date:2019-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ME0182882084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN200867080Medicaid
IN237290EMedicare PIN
IN200867080Medicaid