Organization
CROWN GASTROENTEROLOGY ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM SILBER (PRESIDENT)
(207) 764-0679
Entity
Organization
Contact information
Practice address
11 MARTIN ST, PRESQUE ISLE, ME 04769-2238
(207) 764-0679
(207) 764-1569
Mailing address
11 MARTIN ST, PRESQUE ISLE, ME 04769-2238
(207) 764-0679
(207) 764-1569
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
007258
ANTHEM
ME
01
—
100009202
RAILROAD MEDICARE
ME
01
—
1041858
AETNA
ME
05
—
125140000ME
—
ME
01
—
2204280
CIGNA
ME
Enumeration date
08/20/2006
Last updated
06/10/2009
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