Organization
WESTERN AVENUE DAY SURGERY CENTER
Active
Other names
Surgery Center at Plastic & Hand
Organization subpart
No
Provider details
NPI number
Authorized official
COLETTE BERGERON DAVIES CPA (PRACTICE ADMINISTRATOR)
(207) 775-3446
Entity
Organization
Contact information
Practice address
11 ROCK ROW STE 210, WESTBROOK, ME 04092-4877
(207) 775-3446
(207) 879-1646
Mailing address
11 ROCK ROW STE 210, WESTBROOK, ME 04092-4877
(207) 775-3446
(207) 879-4188
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
261QM2500X
Medical Specialty Clinic/Center
38157
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
107150200
—
ME
Enumeration date
12/26/2014
Last updated
01/26/2026
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