Individual
SUSAN M HAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
77 BATES ST, STE 102 MEDICAL REHAB ASSOCIATES, LEWISTON, ME 04240
(207) 783-2300
(207) 783-2439
Mailing address
77 BATES ST, STE 102 MEDICAL REHABILITATION ASSOCIATES, LEWISTON, ME 04240
(207) 783-2300
(207) 783-2439
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
01676
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010424957
EMPLOY STANDARDS
—
01
—
042094
BCBS
—
01
—
250014126
MEDICARE RAILROAD
—
01
—
3032661
AETNA
—
05
—
325310099
—
ME
01
—
80672
HARVARD PILGRIM
—
Enumeration date
02/21/2006
Last updated
04/28/2011
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