Organization
SEBASTICOOK VALLEY PRIMARY CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GAETANE T BLAIR (BUSINESS MANAGER)
(207) 487-5071
Entity
Organization
Contact information
Practice address
140 CHANDLER STREET, PITTSFIELD, ME 04967-0515
(207) 487-9244
(207) 487-2834
Mailing address
PO BOX 515, 140 CHANDLER STREET, PITTSFIELD, ME 04967-0515
(207) 487-9244
(207) 487-2834
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
208000000X
Pediatrics Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
023158
DR. HUOT STAR ID
ME
01
—
024866
ANTHEM STAR ID
ME
Enumeration date
02/06/2007
Last updated
08/16/2007
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