Provider Demographics
NPI:1376839837
Name:RICHARD BATSTONE MD PA
Entity Type:Organization
Organization Name:RICHARD BATSTONE MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:GRIFFITH
Authorized Official - Middle Name:R
Authorized Official - Last Name:BATSTONE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:207-779-1977
Mailing Address - Street 1:126 MIDDLE ST
Mailing Address - Street 2:
Mailing Address - City:FARMINGTON
Mailing Address - State:ME
Mailing Address - Zip Code:04938-6937
Mailing Address - Country:US
Mailing Address - Phone:207-779-1977
Mailing Address - Fax:207-779-1778
Practice Address - Street 1:126 MIDDLE ST
Practice Address - Street 2:
Practice Address - City:FARMINGTON
Practice Address - State:ME
Practice Address - Zip Code:04938-6937
Practice Address - Country:US
Practice Address - Phone:207-779-1977
Practice Address - Fax:207-779-1778
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-23
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ME17656208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208800000XAllopathic & Osteopathic PhysiciansUrologyGroup - Single Specialty