Organization
WEBBER HOSPITAL ASSOCIATION
Active
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
Update your record
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