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Organization

ACADIA MEDICAL ARTS ANESTHESIA LLC

Active
Parent organization
ACADIA MEDICAL ARTS AMBULATORY SURGICAL SUITE
Organization subpart
Yes

Provider details

NPI number
Legal business name
ACADIA MEDICAL ARTS AMBULATORY SURGICAL SUITE
Authorized official
MS. PAULETTE A BLUE R.N. (ADMINISTRATOR)
(207) 990-0928
Entity
Organization

Contact information

Practice address
73 RIDGEWOOD DR, BANGOR, ME 04401-2652
(207) 433-7039
(207) 945-4354
Mailing address
73 RIDGEWOOD DR, BANGOR, ME 04401-2652
(207) 433-7039
(207) 945-4354

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1252492
CIGNA
ME
05
163600000
ME
01
310030400
US DEPT OF LABOR
ME
01
7515715
AETNA
ME
01
DB9624
RR MEDICARE PIN
ME
Enumeration date
01/03/2007
Last updated
04/09/2026
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