Organization
PLASTIC & HAND SURGICAL ASSOCIATES
Active
Other names
Western Avenue Day Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
COLETTE BERGERON DAVIES CPA (PRACTICE ADMINISTRATOR)
(207) 775-3446
Entity
Organization
Contact information
Practice address
11 ROCK ROW STE 210, WESTBROOK, ME 04092-4877
(207) 775-3446
(207) 879-1646
Mailing address
11 ROCK ROW STE 210, WESTBROOK, ME 04092-4877
(207) 775-3446
(207) 879-1646
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
—
—
2086S0105X
Surgery of the Hand (Surgery) Physician
—
—
2086S0122X
Plastic and Reconstructive Surgery Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
107150000
—
ME
Enumeration date
08/18/2006
Last updated
02/05/2026
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