# APPLEDORE MEDICAL GROUP II INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Coastal Cardiothoracic and Vascular Assoc
- **Organization subpart:** No

## Provider details

- **NPI number:** 1477752699
- **Authorized official:** KENNETH WASHINGTON (VICE PRESIDENT)
- **Authorized official phone:** (703) 650-2907

## Contact information

- **Practice address:** 12 HOSPITAL DR, SUITE A, YORK, ME 03909-1030
- **Practice address phone:** (207) 351-3920
- **Practice address fax:** (603) 559-4110
- **Mailing address:** 12 HOSPITAL DR, SUITE A, YORK, ME 03909-1030
- **Mailing address phone:** (207) 351-3920
- **Mailing address fax:** (603) 559-4110

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | — | NULL | Yes |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/17/2007
- **Last updated:** 07/17/2007