Organization
WISCASSET FAMILY MEDICINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDWARD B KITFIELD MD (SOLE MBR/PHYSICIAN)
(207) 882-6008
Entity
Organization
Contact information
Practice address
66 WATER ST, WISCASSET, ME 04578-4133
(207) 882-6008
(207) 882-7803
Mailing address
PO BOX 351, 66 WATER STR, WISCASSET, ME 04578-4133
(207) 882-6008
(207) 882-7803
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
008477
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
433827000
—
ME
Enumeration date
05/25/2007
Last updated
06/17/2013
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