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NPI Code Detail

MEDICARE: MEDOMAK FAMILY MEDICINE LLC

MEDICARE: MEDOMAK FAMILY MEDICINE LLC
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
1207Q00000XFamily Medicine Physician

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2MM3296OTHERMEDR. WEBB IND MEDICARE #
4MM3303OTHERMEDR LOVE IND MEDICARE #

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11104827120OTHERMEWALTER LOVE MD IND NPI #
3$$$$$$$$$OTHERMEDR LOVE SOCIAL SECURITY #
5$$$$$$$$$OTHERMEDR WEBB SOCIAL SECURITY #
6E56949OTHERMEDR WEBB UPIN #
7E56950OTHERMEDR LOVE UPIN #
8E56949OTHERDR. WEBB UPIN
91972503761OTHERMEMARGARET WEBB MD IND NPI

General Provider Information

NPI Number : 1396848297
Entity Type Code : Organization
Provider Name (Legal Business Name) : MEDOMAK FAMILY MEDICINE LLC
Provider Business Mailing Address
First Line : PO BOX 309
Second Line :
City : WALDOBORO
State : ME
Zip : 04572-0309
Country : US
Telephone Number : 207-832-5813
Fax Number : 207-832-3070
Provider Business Practice Location Address
First Line : 1034 MAIN ST
Second Line :
City : WALDOBORO
State : ME
Zip : 04572-6037
Country : US
Telephone Number : 207-832-5813
Fax Number : 207-832-3070
Authorized Official
Title or Position : MEDICAL DIRECTOR
Name : MARGARET H WEBB
Credential : MD
Telephone Number : 207-832-5813
Provider Enumeration Date : 09/06/2006
Last Update Date : 05/21/2020

Similar Medicare Providers

1972503761 — MARGARET H WEBB MD
Practice Location Address:
1034 MAIN ST
WALDOBORO, ME
04572-6037
Practice Phone: 207-832-5813
Practice Fax: 207-832-3070
1104827120 — WALTER KENNETH LOVE MD
Practice Location Address:
1034 MAIN ST
WALDOBORO, ME
04572-6037
Practice Phone: 207-832-5813
Practice Fax: 207-832-3070
1437159233 — JOHN MARLEY DICKENS MD
Practice Location Address:
592 W MAIN ST
WALDOBORO, ME
04572-6030
Practice Phone: 207-832-6394
Practice Fax: 207-832-4392
1013918036 — JENNIFER ODDLEIFSON PA-C
Practice Location Address:
592 WEST MAIN ST.-
WALDOBORO, ME
04572-6030
Practice Phone: 207-832-6394
Practice Fax: 207-832-4392
1639118458 — JAMES EDWARD CHLEBOWSKI MD
Practice Location Address:
126 DEPOT ST
WALDOBORO, ME
04572-5913
Practice Phone: 207-832-6394
Practice Fax: 207-536-5162
1053322792 — TOWN OF WALDOBORO
Practice Location Address:
1600 ATLANTIC HIGHWAY
WALDOBORO, ME
04572-6018
Practice Phone: 207-832-2160
Practice Fax: 207-832-6061

Directions to “MEDOMAK FAMILY MEDICINE LLC ” Practice Location

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