Individual
PETER H BAGLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6 GLEN COVE DR, ROCKPORT, ME 04856-4272
(207) 301-8542
(207) 301-5277
Mailing address
6 GLEN COVE DR, ROCKPORT, ME 04856-4272
(207) 301-8542
(207) 301-5277
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
73375
MA
207RP1001X
Pulmonary Disease Physician
Primary
MD21833
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3068315
—
MA
Enumeration date
11/28/2005
Last updated
10/10/2023
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