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Organization
CASCO BAY GASTROENTEROLOGY LLC
Active
Organization
CASCO BAY GASTROENTEROLOGY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINE MARIE DAIGLE CCP (BILLING/CREDENTIALING MANAGER)
(207) 879-8989
Entity
Organization
Contact information
Practice address
195 FORE RIVER PKWY STE 490, PORTLAND, ME 04102-2779
(207) 999-9999
Mailing address
25 LONG CREEK DR, SOUTH PORTLAND, ME 04106-2440
(207) 879-0094
(207) 879-0095
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
NULL
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Enumeration date
06/24/2008
Last updated
06/24/2008
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