Organization
COASTAL ANESTHESIOLOGY MEDICAL GROUP, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JON THOMPSON MD (PARTNER)
(800) 927-0002
Entity
Organization
Contact information
Practice address
329 MAINE ST, BRUNSWICK, ME 04011-3310
(207) 373-2000
Mailing address
PO BOX 9137, BROOKLINE, MA 02446-9137
(800) 927-0002
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
ME
Other
Enumeration date
12/21/2005
Last updated
08/22/2020
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