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Organization

SHIPMAN PEDIATRICS, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
RUSSELL SHIPMAN M.D. (OWNER)
(207) 497-2996
Entity
Organization

Contact information

Practice address
1 BRICKYARD LN, UNIT D, YORK, ME 03909-1604
(207) 497-2996
(207) 497-3467
Mailing address
541 MASON BAY RD, JONESPORT, ME 04649-3501
(207) 497-2996
(207) 497-3467

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
1575
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
047343
BCBS
ME
01
2824368
AETNA
ME
05
30233307
NH
05
408230000
ME
01
5924615
AETNA
ME
01
7496508
CIGNA
ME
01
G34607
HARVARD PILGRIM
ME
01
M121911C
CIGNA
ME
01
M221430
CIGNA
ME
Enumeration date
04/05/2007
Last updated
06/27/2008
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