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Organization
WEBBER HOSPITAL ASSOCIATION
Active
Organization
WEBBER HOSPITAL ASSOCIATION
Active
Other names
SMMC Pediatrics Biddeford
Organization subpart
No
Provider details
NPI number
Authorized official
FRANK LAVOIE MD (VP MEDICAL AFFAIRS)
(207) 283-7000
Entity
Organization
Contact information
Practice address
473 ALFRED ST, BIDDEFORD, ME 04005-9447
(207) 283-9031
(207) 284-9825
Mailing address
39 WALLACE AVE, SOUTH PORTLAND, ME 04106-6143
(207) 761-0650
(207) 761-8198
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
363LP0200X
Pediatric Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101580000
—
ME
05
—
30216388
—
NH
05
—
432732800
—
ME
Enumeration date
06/06/2007
Last updated
10/27/2008
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