Individual
CATHERINE CRUTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
51 SEWALL ST, PORTLAND, ME 04102-2643
(207) 772-8823
(207) 772-1856
Mailing address
51 SEWALL ST, PORTLAND, ME 04102-2643
(207) 772-8823
(207) 772-1856
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
012111
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
040814
ANTHEM PROVIDER ID
ME
01
—
099071
ANTHEM OFFICE ID #
ME
01
—
2367189
AETNA PROVIDER ID
ME
01
—
2449295
AETNA OFFICE ID #
ME
01
—
8892325
CIGNA OFFICE ID #
ME
01
—
B86348
HARVARD PILGRIM ID #
ME
01
—
M188110
CIGNA PROVIDER ID
ME
Enumeration date
03/08/2006
Last updated
07/08/2007
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