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Organization
WHITING BAY FAMILY MEDICINE, PA
Active
Organization
WHITING BAY FAMILY MEDICINE, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAT A. GODIN (OFFICE MANAGER)
(207) 733-2900
Entity
Organization
Contact information
Practice address
125 US ROUTE 1, WHITING, ME 04691
(207) 733-2900
(207) 733-2866
Mailing address
PO BOX 108, WHITING, ME 04691-0108
(207) 733-2900
(207) 733-2866
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
013026
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
025951
ANTHEM BCBS
ME
01
—
080170735
RAILROAD MEDICARE
ME
01
—
098154
AETNA
ME
05
—
132790000
—
ME
01
—
610130001
CIGNA
ME
01
—
F14082
HARVARD PILGRIM
ME
Enumeration date
05/04/2007
Last updated
12/01/2011
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