Organization
CASCO BAY SURGERY, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CATHEL AH MACLEOD MD (PRESIDENT)
(207) 761-6642
Entity
Organization
Contact information
Practice address
10 ANDOVER RD, PORTLAND, ME 04102-1954
(207) 761-6642
(207) 773-2603
Mailing address
10 ANDOVER RD, PORTLAND, ME 04102-1954
(207) 761-6642
(207) 773-2603
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
013447
ME
208600000X
Surgery Physician
014327
ME
208600000X
Surgery Physician
016320
ME
208600000X
Surgery Physician
Primary
—
ME
208C00000X
Colon & Rectal Surgery Physician
012909
ME
208C00000X
Colon & Rectal Surgery Physician
014665
ME
208C00000X
Colon & Rectal Surgery Physician
015187
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
154600000
—
ME
05
—
154600099
—
ME
05
—
251740099
—
ME
05
—
287310099
—
ME
05
—
302490099
—
ME
05
—
303190099
—
ME
05
—
338700099
—
ME
Enumeration date
08/22/2005
Last updated
05/21/2008
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