IndividualActive
Jeffery Fox, P.A.
NPI 1396707873 · Surgical Physician Assistant · Portland, ME
Provider details
- NPI number
- 1396707873
- Entity type
- Individual
- Primary specialty
- Surgical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- P.A.
- Sex
- Male
- Sole proprietor
- No
- License
- 1338-023 (WI)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
818 Congress St
Portland, ME 04102-3112
Phone: (207) 773-8161
Approximate (ZIP-level) locationGet directions
Mailing address
220 Campus Blvd Ste 100
Winchester, VA 22601-2896
Registry dates
- Enumerated
- 2006-04-03
- Last updated
- 2022-04-04
- Certified
- 2022-04-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.