Organization
MIDCOAST PEDIATRICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID L ENRIGHT M.D. (CEO)
(207) 721-8333
Entity
Organization
Contact information
Practice address
121 MEDICAL CENTER DR, SUITE 2600, BRUNSWICK, ME 04011-2653
(207) 721-8333
(207) 798-4618
Mailing address
121 MEDICAL CENTER DR, SUITE 2600, BRUNSWICK, ME 04011-2653
(207) 721-8333
(207) 798-4618
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
012530
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0019M
ANTHEM
ME
Enumeration date
11/28/2006
Last updated
08/22/2020
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