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NPI Code Detail

MEDICARE: ELIZABETH B HART MD

MEDICARE: ELIZABETH B HART MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207QG0300XGeriatric Medicine (Family Medicine) Physician013508ME
2207QH0002XHospice and Palliative Medicine (Family Medicine) Physician013508ME

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1497721930
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELIZABETH B HART MD
Provider Business Mailing Address
First Line : 15 STRAWBERRY AVE
Second Line :
City : LEWISTON
State : ME
Zip : 04240-5941
Country : US
Telephone Number : 207-777-7740
Fax Number : 207-795-9342
Provider Business Practice Location Address
First Line : 15 STRAWBERRY AVE
Second Line : ANDROSCOGGIN HOME CARE & HOSPICE
City : LEWISTON
State : ME
Zip : 04240-5941
Country : US
Telephone Number : 207-777-7740
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/24/2006
Last Update Date : 01/21/2019

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