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COASTAL WOMEN'S HEALTHCARE

Other Service Providers Specialist

Provider NPI: 1578674214

Organization Information:
Organization Name:  COASTAL WOMEN'S HEALTHCARE
Organization is not Subpart
Authorized Official:  BEV J NEUGEBAUER  EXECUTIVE DIRECTOR  207-885-8422

Practice Location:
71 US ROUTE ONE SUITE A, ELEVATION CENTER SCARBOROUGH, ME 04074-9375 US
Tel: 207-885-8400  Fax: 207-885-8499

Business Mailing Address:
71 US ROUTE ONE SUITE A, ELEVATION CENTER SCARBOROUGH, ME 04074-9375 US
Tel: 207-885-8400  Fax: 207-885-8499

NPI Information:
NPI: 1578674214
Entity Type: Organization

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y174400000XOther Service Providers
Specialist

Other Provider Identifiers:

IssuerNumberStateType



American Medical Association 2012 taxonomy code information

Code: 174400000X

Type:

Classification:



Definition:



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