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Organization
ACADIA MEDICAL ARTS PAIN MANAGEMENT LLC
Active
Organization
ACADIA MEDICAL ARTS PAIN MANAGEMENT LLC
Active
Parent organization
ACADIA MEDICAL ARTS AMBULATORY SURGERY SUITES
Organization subpart
Yes
Provider details
NPI number
Legal business name
ACADIA MEDICAL ARTS AMBULATORY SURGERY SUITES
Authorized official
MRS. PAULETTE A BLUE RN (ADMINISTRATOR)
(207) 990-0928
Entity
Organization
Contact information
Practice address
404 STATE ST STE 300, BANGOR, ME 04401-6623
(207) 990-0928
(207) 945-4354
Mailing address
404 STATE ST STE 200, BANGOR, ME 04401-6652
(207) 990-0928
(207) 945-4354
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1716688
AETNA
ME
01
—
200363
BLUE CROSS/BLUE SHIELD
ME
05
—
432748500
—
ME
01
—
7937210
CIGNA
ME
Enumeration date
09/10/2007
Last updated
06/03/2011
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