Organization
MAINEGENERAL HEALTH ASSOCIATES
Active
Other names
Kennebec Pediatrics
Organization subpart
No
Provider details
NPI number
Authorized official
BARBARA A CROWLEY MD (PRESIDENT, MGHA)
(207) 626-1063
Entity
Organization
Contact information
Practice address
263 WATER ST, AUGUSTA, ME 04330-4609
(207) 623-2977
(207) 626-9374
Mailing address
150 DRESDEN AVE, GARDINER, ME 04345-2615
(207) 621-9337
(207) 621-3609
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
04/26/2006
Last updated
10/04/2007
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