| Smmc Internal Medicine | |
|
72 Main St Park Square Kennebunk ME 04043-7021 | |
| (207) 467-8909 | |
| Not Available |
| Full Name | Smmc Internal Medicine |
|---|---|
| Speciality | Internal Medicine |
| Location | 72 Main St, Kennebunk, Maine |
| Authorized Official Name and Position | Frank Lavoie (VP MEDICAL AFFAIRS) |
| Authorized Official Contact | 2072837898 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Smmc Internal Medicine 39 Wallace Ave South Portland ME 04106-6143 Ph: (207) 283-7000 | Smmc Internal Medicine 72 Main St Park Square Kennebunk ME 04043-7021 Ph: (207) 467-8909 |
| NPI Number | 1750563888 |
|---|---|
| Provider Enumeration Date | 11/30/2007 |
| Last Update Date | 06/09/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750563888 | NPI | - | NPPES |
| 432732804 | Medicaid | ME | |
| 101580000 | Medicaid | ME |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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