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Organization
SHIPMAN PEDIATRICS, LLC
Active
Organization
SHIPMAN PEDIATRICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RUSSELL SHIPMAN M.D. (OWNER)
(207) 497-2996
Entity
Organization
Contact information
Practice address
1 BRICKYARD LN, UNIT D, YORK, ME 03909-1604
(207) 497-2996
(207) 497-3467
Mailing address
541 MASON BAY RD, JONESPORT, ME 04649-3501
(207) 497-2996
(207) 497-3467
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
1575
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
047343
BCBS
ME
01
—
2824368
AETNA
ME
05
—
30233307
—
NH
05
—
408230000
—
ME
01
—
5924615
AETNA
ME
01
—
7496508
CIGNA
ME
01
—
G34607
HARVARD PILGRIM
ME
01
—
M121911C
CIGNA
ME
01
—
M221430
CIGNA
ME
Enumeration date
04/05/2007
Last updated
06/27/2008
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