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Organization
SOUTHERN MAINE GASTROENTEROLOGY, LLC
Active
Organization
SOUTHERN MAINE GASTROENTEROLOGY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN THOMPSON DO (PROVIDER)
(207) 467-9156
Entity
Organization
Contact information
Practice address
10 STORER ST, UNIT 106, LAFAYETTE CENTER, KENNEBUNK, ME 04043-6875
(207) 467-9156
(207) 467-9157
Mailing address
PMB 2700, 4 SCAMMON ST, SUITE 19, SACO, ME 04072
(207) 282-4704
(207) 286-3218
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
NULL
207RG0100X
Gastroenterology Physician
Primary
—
—
208C00000X
Colon & Rectal Surgery Physician
—
NULL
208C00000X
Colon & Rectal Surgery Physician
—
—
Other
Enumeration date
11/24/2006
Last updated
05/23/2008
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