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Organization
CAPE ELIZABETH FAMILY MEDICINE, LLC
Active
Organization
CAPE ELIZABETH FAMILY MEDICINE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CRAIG E JOHNSON M.D. (OWNER)
(207) 799-4050
Entity
Organization
Contact information
Practice address
1226 SHORE RD, CAPE ELIZABETH, ME 04107-2123
(207) 799-4050
(207) 799-4758
Mailing address
301 US ROUTE 1, BUILDING C, SCARBOROUGH, ME 04074-7609
(207) 396-8600
(207) 396-8632
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
135170000
—
ME
Enumeration date
05/02/2007
Last updated
12/29/2010
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