Provider Demographics
NPI:1801913553
Name:ARCEO, AMETHYST J (DO)
Entity type:Individual
Prefix:
First Name:AMETHYST
Middle Name:J
Last Name:ARCEO
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:AMETHYST
Other - Middle Name:J
Other - Last Name:HAMLIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:149 NORTH ST
Mailing Address - Street 2:
Mailing Address - City:WATERVILLE
Mailing Address - State:ME
Mailing Address - Zip Code:04901-4974
Mailing Address - Country:US
Mailing Address - Phone:207-872-4340
Mailing Address - Fax:207-872-4341
Practice Address - Street 1:149 NORTH ST
Practice Address - Street 2:
Practice Address - City:WATERVILLE
Practice Address - State:ME
Practice Address - Zip Code:04901-4974
Practice Address - Country:US
Practice Address - Phone:207-872-4340
Practice Address - Fax:207-872-4341
Is Sole Proprietor?:No
Enumeration Date:2007-03-26
Last Update Date:2016-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ME2124207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine