Organization
WEBBER HOSPITAL ASSOCIATION
Active
Other names
SMMC Pediatrics Biddeford
Organization subpart
No
Provider details
NPI number
Authorized official
FRANK LAVOIE MD (VP MEDICAL AFFAIRS)
(207) 283-7000
Entity
Organization
Contact information
Practice address
473 ALFRED ST, BIDDEFORD, ME 04005-9447
(207) 283-9031
(207) 284-9825
Mailing address
39 WALLACE AVE, SOUTH PORTLAND, ME 04106-6143
(207) 761-0650
(207) 761-8198
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
363LP0200X
Pediatric Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101580000
—
ME
05
—
30216388
—
NH
05
—
432732800
—
ME
Enumeration date
06/06/2007
Last updated
10/27/2008
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