Organization
MILLENNIUM ANESTHESIA PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK KAMP MD (MANAGING PARTNER)
(508) 457-3580
Entity
Organization
Contact information
Practice address
100 TER HEUN DR, FALMOUTH, MA 02541
(508) 457-3580
Mailing address
PO BOX 676, LEWISTON, ME 04243-0676
(800) 720-1664
(207) 753-2020
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
668203
TUFTS HEALTH
MA
05
—
9784659
—
MA
01
—
M16981
BLUE CROSS
MA
Enumeration date
07/19/2006
Last updated
01/21/2008
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