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Organization

PEDS COVERAGE PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
STEVEN BLUMENTHAL MD (OWNER)
(207) 553-6300
Entity
Organization

Contact information

Practice address
1577 CONGRESS ST, PORTLAND, ME 04102-2169
(207) 662-1442
Mailing address
PO BOX 1778, LEWISTON, ME 04241-1778
(207) 375-3024
(207) 375-3026

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1275565384
ME
Enumeration date
12/03/2018
Last updated
12/10/2018
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