Provider Demographics
NPI:1043297146
Name:O'ROURKE, MARSHA C (MD)
Entity type:Individual
Prefix:MS
First Name:MARSHA
Middle Name:C
Last Name:O'ROURKE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:PO BOX 1638
Mailing Address - Street 2:
Mailing Address - City:ALBANY
Mailing Address - State:NY
Mailing Address - Zip Code:12201-1638
Mailing Address - Country:US
Mailing Address - Phone:207-777-4111
Mailing Address - Fax:207-783-6660
Practice Address - Street 1:99 CAMPUS AVE
Practice Address - Street 2:SUITE 303
Practice Address - City:LEWISTON
Practice Address - State:ME
Practice Address - Zip Code:04240-6045
Practice Address - Country:US
Practice Address - Phone:207-782-5424
Practice Address - Fax:207-782-1136
Is Sole Proprietor?:No
Enumeration Date:2005-12-29
Last Update Date:2013-12-29
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
ME011997208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
E11099Medicare UPIN