Organization
THE MEDICAL GROUP DEPARTMENT OF GOODALL HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WEBER SHILL (VICE PRESIDENT)
(207) 490-7861
Entity
Organization
Contact information
Practice address
7 SHAPE DR, KENNEBUNK, ME 04043-6601
(207) 985-7174
(207) 985-1304
Mailing address
7 SHAPE DR, KENNEBUNK, ME 04043-6601
(207) 985-7174
(207) 985-1304
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
07/31/2006
Last updated
09/09/2008
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