Individual
REBECCA D WHITELEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
195 FORE RIVER PKWY, SUITE 440, PORTLAND, ME 04102
(207) 553-6920
(207) 553-6940
Mailing address
195 FORE RIVER PKWY, STE 440, PORTLAND, ME 04102
(207) 553-6920
(207) 553-6940
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
017407
ME
207V00000X
Obstetrics & Gynecology Physician
Primary
017407
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
432509399
—
ME
Enumeration date
11/30/2006
Last updated
04/22/2013
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