IndividualActive
Andrew Nicholson, M.D.
NPI 1295912665 · Family Medicine Physician · Gorham, ME
Provider details
- NPI number
- 1295912665
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- MD15480 (ME)
Mailing address
130 Main St
Gorham, ME 04038-1319
Registry dates
- Enumerated
- 2008-01-28
- Last updated
- 2015-07-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.