| Casco Bay Gastroenterology Llc | |
|
25 Long Creek Dr South Portland ME 04106-2440 | |
| (207) 879-0094 | |
| (207) 879-0095 |
| Full Name | Casco Bay Gastroenterology Llc |
|---|---|
| Speciality | Internal Medicine - Gastroenterology |
| Location | 25 Long Creek Dr, South Portland, Maine |
| Authorized Official Name and Position | Christine Marie Daigle (BILLING MANAGER) |
| Authorized Official Contact | 2078790094 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Casco Bay Gastroenterology Llc 25 Long Creek Dr South Portland ME 04106-2440 Ph: (207) 879-0094 | Casco Bay Gastroenterology Llc 25 Long Creek Dr South Portland ME 04106-2440 Ph: (207) 879-0094 |
| NPI Number | 1972579241 |
|---|---|
| Provider Enumeration Date | 02/27/2006 |
| Last Update Date | 05/07/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972579241 | NPI | - | NPPES |
| DC0798 | Other | ME | RAILROAD MEDICARE |
| 126510000 | Medicaid | ME |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
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