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Organization

SOUTHERN MAINE GERIATRICS ASSOCIATES LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MICHAEL J BITHER MD (OWNER)
(207) 865-6131
Entity
Organization

Contact information

Practice address
50 MARQUIS RD, FREEPORT, ME 04032-6477
(207) 865-6131
(207) 865-9399
Mailing address
50 MARQUIS RD, FREEPORT, ME 04032-6477
(207) 865-6131
(207) 865-9399

Taxonomy

Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
363LA2100X
Acute Care Nurse Practitioner
363LA2200X
Adult Health Nurse Practitioner
363LF0000X
Family Nurse Practitioner

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
134840000
ME
05
30214096
NH
Enumeration date
08/31/2006
Last updated
09/12/2013
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