Waterboro Village Pediatrics Llc Pa
Pediatrics
Waterboro Village Pediatrics Llc Pa is a East Waterboro, Maine based Pediatric center with medical specialization in
General Pediatrics.
It is located at
43 Sokokis Trail, East Waterboro, Maine - 04030. They can be contacted on phone at
207-247-6742 and fax number 207-247-6114.
NPI number (Unique professional ID) for Waterboro Village Pediatrics Llc Pa is
1225018740 which was assigned by NPPES on 19 Jan, 2006 and it was last updated on 07 May, 2008.
Waterboro Village Pediatrics Llc Pa is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Waterboro Village Pediatrics Llc Pa basic information including their official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Waterboro Village Pediatrics Llc Pa |
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Business Address:
Waterboro Village Pediatrics Llc Pa address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 43 Sokokis Trail
East Waterboro, ME, 04030
United States |
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| Phone Number : | 207-247-6742 |
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| Fax Number : | 207-247-6114 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1225018740 |
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| NPI Entity Type : | Organization |
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| First Enrolment Date : | 19 Jan, 2006 |
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| Last Updated On : | 07 May, 2008 |
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Authorized Official Details:
Officially authorized person to contact for any management issues or complaints of this organization are as below. Person's position and contact details are as mentioned below.
| Authorized Official Name : | Keashadanielle Marescot |
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| Authorized Official Credential : | MD |
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| Official Title or Position : | CO OWNER PARTNER |
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| Phone Number : | 207-247-6742 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Waterboro Village Pediatrics Llc Pa are as mentioned. Primary taxonomy code for Waterboro Village Pediatrics Llc Pa is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | | |
Legacy Identifiers:
Other legacy medical identifiers of Waterboro Village Pediatrics Llc Pa such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 157150000 | MEDICAID | ME | |
| 30213870 | MEDICAID | NH | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | Po Box 1849
Lewiston, ME, 04241-1849
United States |
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| Phone Number : | 207-784-2554 |
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| Fax Number : | 207-777-5363 |
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Business Location:
Patients can refer following map for directions to
Waterboro Village Pediatrics Llc Pa practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.