Individual
EDWARD R. WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
24 MILES CENTER WAY, DAMARISCOTTA, ME 04543-4047
(207) 563-1040
(207) 563-1039
Mailing address
24 MILES CENTER WAY, DAMARISCOTTA, ME 04543-4047
(207) 563-1040
(207) 563-1039
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
011872
ME
207X00000X
Orthopaedic Surgery Physician
Primary
MD11872
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
272420099
—
ME
Enumeration date
09/16/2005
Last updated
10/10/2018
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