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Organization
WEBBER HOSPITAL ASSOCIATION
Active
Organization
WEBBER HOSPITAL ASSOCIATION
Active
Other names
SMMC Hospitalist
Organization subpart
No
Provider details
NPI number
Authorized official
FRANK LAVOIE MD (VP MEDICAL AFFAIRS)
(207) 283-7000
Entity
Organization
Contact information
Practice address
1 MEDICAL CENTER DR, BIDDEFORD, ME 04005-9422
(207) 283-7000
Mailing address
39 WALLACE AVE, SOUTH PORTLAND, ME 04106-6143
(207) 761-0650
(207) 761-8198
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
208M00000X
Hospitalist Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101580000
—
ME
05
—
432732804
—
ME
Enumeration date
01/22/2008
Last updated
06/09/2008
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