MEDICARE: MAURA BEVERLIN PRICE MD

Medicare Provider Information

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208000000X	Pediatrics Physician	013834	ME

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1952371684	OTHER	ME	ANTHEM
2	3179933	OTHER	ME	AETNA
3	M555815	OTHER		CIGNA NH
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	00558749	OTHER		CHAMPUS
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
7	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
8	3179924	OTHER		AETNA

NPI Number	:	1952371684
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MAURA BEVERLIN PRICE MD

Provider Business Mailing Address
First Line	:	9 HEALTHCARE DR
Second Line	:	SUITE 201
City	:	BIDDEFORD
State	:	ME
Zip	:	04005-9449
Country	:	US
Telephone Number	:	207-282-9080
Fax Number	:	207-286-9853

Provider Business Practice Location Address
First Line	:	13 INDUSTRIAL PARK RD
Second Line	:
City	:	SACO
State	:	ME
Zip	:	04072-1804
Country	:	US
Telephone Number	:	207-294-5959
Fax Number	:	207-286-9853

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/25/2006
Last Update Date	:	05/18/2011

15 INDUSTRIAL PARK RD
SACO, ME
04072-1804

Practice Phone: 207-284-4566
Practice Fax: 207-282-4769

13 INDUSTRIAL PARK RD
SACO, ME
04072-1804