Organization
WEBBER HOSPITAL ASSOCIATION
Active
Other names
SMMC Internal Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
FRANK LAVOIE MD (VP MEDICAL AFFAIRS)
(207) 283-7898
Entity
Organization
Contact information
Practice address
72 MAIN ST, PARK SQUARE, KENNEBUNK, ME 04043-7021
(207) 467-8909
Mailing address
39 WALLACE AVE, SOUTH PORTLAND, ME 04106-6143
(207) 283-7000
(207) 283-7070
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101580000
—
ME
05
—
432732804
—
ME
Enumeration date
11/30/2007
Last updated
06/09/2008
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