Penbay Anesthesia, LLC

NPI #1629054663 in Rockport, Maine

Provider Information

NPI Number: 1629054663
Entity Type: Organization
Organization Name: Penbay Anesthesia, LLC
Primary Specialty: Anesthesiology
Enumeration Date: Dec 21, 2005
Last Updated: Jul 16, 2007

Practice Location

Address: 6 GLEN COVE DR
City: Rockport
State: Maine
ZIP Code: 04856-4240
Phone: (207) 596-8000

Authorized Official

Name: DAVID MADDOX, M.D.
Title: PRESIDENT
Phone: (207) 784-2554

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Anesthesiology	207L00000X	Primary

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