Organization
MAINE CENTERS FOR HEALTHCARE
Active
Other names
Maine Center for Endoscopy
Organization subpart
No
Provider details
NPI number
Authorized official
OWEN B PICKUS D.O. (MEDICAL DIRECTOR)
(207) 857-9311
Entity
Organization
Contact information
Practice address
2 CHABOT ST, WESTBROOK, ME 04092-4817
(207) 857-9311
(207) 857-9324
Mailing address
2 CHABOT ST, WESTBROOK, ME 04092-4817
(207) 857-9311
(207) 857-9324
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
1238
ME
207RG0100X
Gastroenterology Physician
1385
ME
208600000X
Surgery Physician
012909
ME
208600000X
Surgery Physician
015187
ME
208600000X
Surgery Physician
1177
ME
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
09/12/2006
Last updated
07/05/2017
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