Organization
APPLEDORE MEDICAL GROUP II INC
Active
Other names
Coastal Cardiothoracic & Vascular Associates
Organization subpart
No
Provider details
NPI number
Authorized official
KEN WASHINGTON (VICE PRESIDENT)
(703) 650-2907
Entity
Organization
Contact information
Practice address
12 HOSPITAL DR, SUITE 9, YORK, ME 03909-1030
(603) 433-4862
(603) 334-2052
Mailing address
12 HOSPITAL DR, SUITE 9, YORK, ME 03909-1030
(603) 433-4862
(603) 334-2052
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30212551
—
NH
Enumeration date
09/25/2007
Last updated
09/25/2007
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