Organization
SEACOAST FOOT & ANKLE SPECIALISTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOROTHY H KURTZ DPM (OWNER)
(207) 439-2101
Entity
Organization
Contact information
Practice address
37 RTE 236, STE 210, KITTERY, ME 03904
(207) 439-2101
(207) 439-2199
Mailing address
PO BOX 810, WESTBROOK, ME 04098-0810
(207) 854-1544
(207) 854-1516
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
POD1030
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03Y002802ME02
ANTHEM NH
NH
01
—
060678
ANTHEM
ME
05
—
077629104
—
ME
01
—
163540000
MAINECARE GROUP #
ME
01
—
1841270642
GROUP NPI #
ME
01
—
1851499768
IND NPI#
ME
01
—
MM8140
MEDICARE IND #
ME
Enumeration date
01/18/2006
Last updated
07/22/2008
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