Individual
ALBERT SIDNEY WHITING JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
647 MAIN ST, CARIBOU, ME 04736-4464
(207) 496-6851
(207) 492-5791
Mailing address
PO BOX 576, CARIBOU, ME 04736-0576
(207) 496-6851
(207) 492-5791
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
200100197
NC
207W00000X
Ophthalmology Physician
Primary
MD17756
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0800138
UNITED HEALTHCARE
NC
01
—
12880
BCBS OF NC
NC
01
—
180042535
PALMETTO GBA
NY
05
—
8912880
—
NC
Enumeration date
11/21/2005
Last updated
01/10/2023
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