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Individual

GREGORY A VAN GUNDY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
9 HEALTHCARE DRIVE, SUITE 101, BIDDEFORD, ME 04005-9407
(207) 282-4270
(207) 282-7350
Mailing address
9 HEALTHCARE DRIVE, SUITE 201, BIDDEFORD, ME 04005-3747
(207) 282-9080
(207) 282-9180

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
015797
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
045032
ANTHEM
ME
01
1830787
CIGNA
ME
01
2751613
AETNA
ME
05
318470099
ME
01
B34079
HARVARD PILGRIM
ME
Enumeration date
04/27/2006
Last updated
01/31/2011
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