Individual
KEASHA DANIELLE MARESCOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
43 SOKOKIS TRAIL, E WATERBORO, ME 04030
(207) 247-6742
(207) 247-6114
Mailing address
PO BOX 1849, LEWISTON, ME 04241-1849
(207) 784-2554
(207) 777-5363
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
015675
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0055B749
CHAMPUS
—
01
—
046260
ANTHEM
—
01
—
046261
BLUE SHIELD
ME
01
—
050562391
COMMERCIAL
—
05
—
281130099
—
ME
05
—
30205519
—
NH
01
—
3179929
AETNA
—
01
—
M555815
CIGNA
NH
Enumeration date
01/25/2006
Last updated
05/07/2008
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