Organization
WEBBER HOSPITAL ASSOCIATION
Active
Other names
SMMC Coastal Surgical Associates
Organization subpart
No
Provider details
NPI number
Authorized official
FRANK W LAVOIE MD (VP MEDICAL AFFAIRS)
(207) 283-7000
Entity
Organization
Contact information
Practice address
3 MEDICAL CENTER DR, BIDDEFORD, ME 04005-9422
(207) 284-4597
(207) 282-9213
Mailing address
39 WALLACE AVE, SOUTH PORTLAND, ME 04106-6143
(207) 761-0650
(207) 761-0650
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
2086S0129X
Vascular Surgery Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101580000
—
ME
05
—
30216515
—
NH
05
—
432732805
—
ME
Enumeration date
04/10/2008
Last updated
06/09/2008
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