Organization
PEN BAY GENERAL SURGERY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CAROLYN S MENENDEZ M.D. (OWNER)
(207) 593-5715
Entity
Organization
Contact information
Practice address
4 GLEN COVE DR, SUITE 201, ROCKPORT, ME 04856-4235
(207) 593-5715
(207) 593-5332
Mailing address
4 GLEN COVE DR, SUITE 201, ROCKPORT, ME 04856-4235
(207) 593-5715
(207) 593-5332
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
016523
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
016523
MAINE STATE LICENSE
ME
Enumeration date
01/31/2006
Last updated
03/07/2023
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