Penbay Anesthesia, LLC
Anesthesiology in Rockport, ME. Organization (NPI-2).
NPI number1629054663
StatusActive
Last updated in NPPESJul 16, 2007
Details
- NPI
- 1629054663
- Entity type
- Organization (NPI-2)
- Legal business name
- Penbay Anesthesia, LLC
- Organization subpart
- No
- Enumeration date
- Dec 21, 2005
- Last updated
- Jul 16, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207L00000X | Anesthesiology | – | – | Yes |
Practice location
6 Glen Cove DrRockport, ME 04856-4240
Phone 207-596-8000
Mailing address
Po Box 1849Lewiston, ME 04241-1849
Phone 207-784-2554 · Fax 207-777-5363
Authorized official
David Maddox
President
2077842554
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