Organization
WEBBER HOSPITAL ASSOCIATION
Active
Other names
SMMC Pediatrics
Organization subpart
No
Provider details
NPI number
Authorized official
FRANK LAVOIE MD (VP MEDICAL AFFAIRS)
(207) 283-7000
Entity
Organization
Contact information
Practice address
2 BERRY CT, KENNEBUNK, ME 04043-6812
(207) 985-8460
Mailing address
39 WALLACE AVE, SOUTH PORTLAND, ME 04106-6143
(207) 985-8460
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101580000
—
ME
05
—
432732802
—
ME
Enumeration date
01/24/2008
Last updated
06/09/2008
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