IndividualActive
Douglas Jicha, MD
NPI 1306879325 · Vascular Surgery Physician · Scarborough, ME
Provider details
- NPI number
- 1306879325
- Entity type
- Individual
- Primary specialty
- Vascular Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 006810 (ME)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
306 US Route 1
Bldg C
Scarborough, ME 04074
Phone: (207) 885-5742
Fax: (207) 885-1494
Approximate (ZIP-level) locationGet directions
Mailing address
306 US Route 1
Scarborough, ME 04074
Registry dates
- Enumerated
- 2006-07-10
- Last updated
- 2021-11-03
- Certified
- 2021-11-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.