Individual
ROBERT P CERVENKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
112 SANFORD RD, WELLS, ME 04090-5533
(207) 641-8044
(207) 641-8169
Mailing address
112 SANFORD RD, WELLS, ME 04090-5533
(207) 641-8044
(207) 641-8169
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
6858
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00000029
—
NH
01
—
0104458Y0NH01
ANTHEM
NH
01
—
4270144
AETNA NON-HMO
NH
Enumeration date
09/12/2005
Last updated
06/09/2010
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