Organization
PEDIATRIC ASSOCIATES OF LEWISTON P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAN HETT (PRACTICE ADMINISTRATOR)
(207) 784-5782
Entity
Organization
Contact information
Practice address
33 MOLLISON WAY, LEWISTON, ME 04240-5805
(207) 784-5782
(207) 786-5756
Mailing address
33 MOLLISON WAY, LEWISTON, ME 04240-5805
(207) 784-5782
(207) 786-5756
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
134370000
—
ME
Enumeration date
10/26/2006
Last updated
07/02/2009
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