Provider Demographics
NPI:1619143922
Name:WATERVILLE WOMENS CARE INC
Entity Type:Organization
Organization Name:WATERVILLE WOMENS CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:ALAN
Authorized Official - Last Name:GEORGE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:207-877-7477
Mailing Address - Street 1:25 FIRST PARK DR
Mailing Address - Street 2:SUITE D
Mailing Address - City:OAKLAND
Mailing Address - State:ME
Mailing Address - Zip Code:04963-5369
Mailing Address - Country:US
Mailing Address - Phone:207-877-7477
Mailing Address - Fax:207-877-7171
Practice Address - Street 1:25 FIRST PARK DR
Practice Address - Street 2:SUITE D
Practice Address - City:OAKLAND
Practice Address - State:ME
Practice Address - Zip Code:04963-5369
Practice Address - Country:US
Practice Address - Phone:207-877-7477
Practice Address - Fax:207-877-7171
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-06
Last Update Date:2011-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty