Provider Demographics
NPI:1609836238
Name:GALBRAITH, DAVID W (MD)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:W
Last Name:GALBRAITH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:44 ELM ST
Mailing Address - Street 2:
Mailing Address - City:LIMERICK
Mailing Address - State:ME
Mailing Address - Zip Code:04048-3924
Mailing Address - Country:US
Mailing Address - Phone:207-793-9586
Mailing Address - Fax:207-793-9587
Practice Address - Street 1:44 ELM ST
Practice Address - Street 2:
Practice Address - City:LIMERICK
Practice Address - State:ME
Practice Address - Zip Code:04048-3924
Practice Address - Country:US
Practice Address - Phone:207-793-9586
Practice Address - Fax:207-793-9587
Is Sole Proprietor?:No
Enumeration Date:2006-03-27
Last Update Date:2015-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEMD14808207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MM733102Medicare PIN
G71492Medicare UPIN