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NPI Code Detail

MEDICARE: DONALD CALEBAUGH MD

MEDICARE: DONALD CALEBAUGH 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
1207RG0100XGastroenterology Physician223214NY

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 : 1598766404
Entity Type Code : Individual
Provider Name (Legal Business Name) : DONALD CALEBAUGH MD
Provider Business Mailing Address
First Line : PO BOX 351
Second Line :
City : PERRY
State : ME
Zip : 04667-0351
Country : US
Telephone Number : 207-853-0644
Fax Number :
Provider Business Practice Location Address
First Line : 11 BACK RD
Second Line :
City : PLEASANT POINT
State : ME
Zip : 04667-4119
Country : US
Telephone Number : 207-853-0644
Fax Number : 207-853-6230
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/02/2005
Last Update Date : 03/07/2013

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