Organization
DONALD J WEAVER MD FACP PA
Active
Organization
DONALD J WEAVER MD FACP PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DONALD J WEAVER MD (PRESIDENT)
(207) 594-7705
Entity
Organization
Contact information
Practice address
4 GLEN COVE DR, STE 104, ROCKPORT, ME 04856-4235
(207) 594-7705
(207) 594-0543
Mailing address
4 GLEN COVE DR, STE 104, ROCKPORT, ME 04856-4235
(207) 594-7705
(207) 594-0543
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
007465
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
116670000
—
ME
Enumeration date
09/26/2006
Last updated
03/04/2010
Update your record
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