Individual
CHRISTINE L GATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
259 MAIN ST, YARMOUTH, ME 04096-6723
(207) 874-1489
(207) 523-8590
Mailing address
100 GANNETT DR, SUITE C, SOUTH PORTLAND, ME 04106-5900
(207) 828-0361
(207) 874-1483
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
016164
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
060578
ANTHEM
—
05
—
276420099
—
ME
01
—
3346053
AETNA
—
Enumeration date
03/17/2006
Last updated
06/03/2016
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