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Coastal Medical Care

Anesthesiology in Belfast, ME. Organization (NPI-2).

NPI number1144257593
StatusActive
Last updated in NPPESJul 21, 2022

Details

NPI
1144257593
Entity type
Organization (NPI-2)
Legal business name
Coastal Medical Care
Organization subpart
No
Enumeration date
Jun 28, 2006
Last updated
Jul 21, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207L00000X Anesthesiology–MEYes

Practice location

118 Northport Ave
Belfast, ME 04915-6009

Phone 207-338-9345 · Fax 207-338-8600

Mailing address

Po Box 407
Belfast, ME 04915-0407

Phone 207-338-9345 · Fax 207-338-8600

Authorized official

Gordon Tibbitts
Cfo
2073389304

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