Individual
BETH ROCKCRESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
489 STATE ST, BANGOR, ME 04401-6616
(207) 973-8955
Mailing address
43 WHITING HILL RD STE 300, BREWER, ME 04412-1006
(207) 973-8955
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
014956
ME
208000000X
Pediatrics Physician
MD14956
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
515250000
—
MD
01
—
608376-02
CAREFIRST BCBS #
MD
01
—
S2560005
DC BLUE CROSS #
DC
Enumeration date
05/25/2006
Last updated
03/07/2023
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