Organization
MASSABESIC HEALTH RESOURCES PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRENDA EDGERLY (OFFICE MANAGER)
(207) 247-3216
Entity
Organization
Contact information
Practice address
392 MAIN ST, WATERBORO, ME 04087-3057
(207) 247-3216
(207) 247-3217
Mailing address
PO BOX 456, WATERBORO, ME 04087-0456
(207) 247-3216
(207) 247-3217
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2660527
AETNA
ME
01
—
6315425
CIGNA
ME
Enumeration date
06/21/2006
Last updated
11/30/2007
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