Individual
DR. SALLY HALEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
93 CHURCH RD, BRUNSWICK, ME 04011-7306
(207) 798-5907
(207) 729-5757
Mailing address
93 CHURCH RD, BRUNSWICK, ME 04011-7306
(207) 798-5907
(207) 729-5757
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
013740
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
013740
MEDICAL LICENSE
ME
01
—
025883
ANTHEM
ME
Enumeration date
07/16/2006
Last updated
07/08/2007
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