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GORDON THOMPSON CALDWELL JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
77 BATES ST, SUITE 102, LEWISTON, ME 04240-7637
(207) 783-2300
(207) 783-2439
Mailing address
77 BATES ST, SUITE 102, LEWISTON, ME 04240-7637
(207) 783-2300
(207) 783-2439

Taxonomy

Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
012721
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
010424957
CHAMPUS
01
030495
BCBS
01
2075723
AETNA
01
25012128
MEDICARE RAILROAD
05
272410099
ME
01
E19633
HARVARD PILGRIM
01
M52001
CIGNA
Enumeration date
03/02/2006
Last updated
04/28/2011
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