Organization
COASTAL MEDICAL CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GORDON TIBBITTS (CFO)
(207) 338-9304
Entity
Organization
Contact information
Practice address
118 NORTHPORT AVE, BELFAST, ME 04915-6009
(207) 338-9345
(207) 338-8600
Mailing address
PO BOX 407, BELFAST, ME 04915-0407
(207) 338-9345
(207) 338-8600
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
ME
Other
Enumeration date
06/28/2006
Last updated
07/21/2022
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