Individual
DR. PHILIP ELKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
57 WATER STREET, BLUE HILL, ME 04614
(207) 374-3473
(207) 374-3989
Mailing address
57 WATER ST, BLUE HILL, ME 04614
(207) 374-3473
(207) 374-3989
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD8897
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04297501
MEDICARE B - FOR 200051
ME
05
—
291260099
—
ME
Enumeration date
06/14/2006
Last updated
12/17/2012
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