Individual
JAMES W GEORGITIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, FACS
Contact information
Practice address
3 MEDICAL CENTER DR, BIDDEFORD, ME 04005-9422
(207) 284-4597
(207) 282-9213
Mailing address
9 HEALTHCARE DR, SUITE 201, BIDDEFORD, ME 04005-9449
(207) 282-9080
(207) 282-9180
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
009793
ME
2086S0129X
Vascular Surgery Physician
009793
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
262810099
—
ME
05
—
30207575
—
NH
Enumeration date
11/08/2006
Last updated
10/29/2009
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