Organization
NORTHERN MAINE AMBULATORY ENDOSCOPY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM SILBER (PRESIDENT)
(207) 764-0679
Entity
Organization
Contact information
Practice address
11 MARTIN ST, PRESQUE ISLE, ME 04769-2238
(207) 764-0679
(207) 764-1569
Mailing address
11 MARTIN ST, PRESQUE ISLE, ME 04769-2238
(207) 764-0679
(207) 764-1569
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
36488
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
026465
ANTHEM
ME
05
—
130120000ME
—
ME
01
—
490003212
RAILROAD MEDICARE
ME
01
—
5989270
AETNA
ME
01
—
9107978
CIGNA
ME
Enumeration date
08/20/2006
Last updated
06/23/2008
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