Organization
KENNEBEC GASTROINTESTINAL ASSOC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN B BAGGOTT MD (OWNER/PARTNER)
(207) 621-1150
Entity
Organization
Contact information
Practice address
6 E CHESTNUT ST, SUITE C-3, AUGUSTA, ME 04330-5717
(207) 621-1150
(207) 626-1045
Mailing address
6 E CHESTNUT ST, SUITE C-3, AUGUSTA, ME 04330-5717
(207) 621-1150
(207) 626-1045
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
12943000
—
ME
Enumeration date
07/29/2006
Last updated
10/02/2007
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