Waterboro Village Pediatrics LLC PA
NPI #1225018740 in East Waterboro, Maine
Provider Information
- NPI Number
- 1225018740
- Entity Type
- Organization
- Organization Name
- Waterboro Village Pediatrics LLC PA
- Primary Specialty
- Pediatrics
- Enumeration Date
- Jan 19, 2006
- Last Updated
- May 7, 2008
Practice Location
- Address
- 43 SOKOKIS TRAIL
- City
- East Waterboro
- State
- Maine
- ZIP Code
- 04030
- Phone
- (207) 247-6742
Authorized Official
- Name
- KEASHA DANIELLE MARESCOT, MD
- Title
- CO OWNER PARTNER
- Phone
- (207) 247-6742
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pediatrics |
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