Organization
BAYVIEW PEDIATRICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JULIA D LOCKWOOD M.D. (PRESIDENT)
(207) 846-9761
Entity
Organization
Contact information
Practice address
45 FOREST FALLS DR, YARMOUTH, ME 04096-6999
(207) 846-9761
(207) 846-9763
Mailing address
45 FOREST FALLS DR, YARMOUTH, ME 04096-6999
(207) 846-9761
(207) 846-9763
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
131530000
—
ME
Enumeration date
01/12/2010
Last updated
09/15/2011
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