Individual
GENEVIEVE S WHITING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1 HARNOIS AVE, SUITE 1A, WESTBROOK, ME 04092-4392
(207) 662-1360
(207) 662-1361
Mailing address
190 RIVERSIDE ST, SUITE 6B, PORTLAND, ME 04103-1073
(207) 661-2000
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
2013-02185
NC
208000000X
Pediatrics Physician
259174
NY
208000000X
Pediatrics Physician
Primary
MD19673
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1821232398
—
ME
Enumeration date
04/28/2009
Last updated
04/25/2017
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