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Organization

PENBAY ANESTHESIA, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DAVID MADDOX M.D. (PRESIDENT)
(207) 784-2554
Entity
Organization

Contact information

Practice address
6 GLEN COVE DR, ROCKPORT, ME 04856-4240
(207) 596-8000
Mailing address
PO BOX 1849, LEWISTON, ME 04241-1849
(207) 784-2554
(207) 777-5363

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary

Other

Enumeration date
12/21/2005
Last updated
07/16/2007
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