Individual
PETER COPITHORNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
50 UNION ST STE 2100, ELLSWORTH, ME 04605-1534
(207) 664-5770
(207) 664-5777
Mailing address
50 UNION ST STE 2100, ELLSWORTH, ME 04605-1534
(207) 664-5770
(207) 664-5777
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
MD20429
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1922470525
—
ME
Enumeration date
10/22/2015
Last updated
01/12/2021
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