Individual
DR. PETER H WITHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
16 COMMUNITY LN, SOUTHWEST HARBOR, ME 04679-4273
(207) 244-5630
Mailing address
50 UNION STREET, ELLSWORTH, ME 04605
(207) 664-7780
(207) 664-7721
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0420010126
VT
207R00000X
Internal Medicine Physician
Primary
MD19832
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
OVN2345
—
VT
Enumeration date
10/05/2006
Last updated
08/23/2019
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