Bayview Pediatrics

Organization Active NPI Pediatrics Physician · Yarmouth, ME

NPI 1013247196 · NPPES record last updated Sep 15, 2011

Key facts

NPI
1013247196
Entity type
Organization (NPI type 2)
Primary specialty
Pediatrics Physician 208000000X
Legal business name
BAYVIEW PEDIATRICS
Practice address
45 Forest Falls Dr
Yarmouth, ME 04096-6999
Phone
(207) 846-9761
Fax
(207) 846-9763
NPI assigned
Jan 12, 2010
Organization subpart
No

Authorized official

Name
Dr. Julia D Lockwood, M.D.
Title
President
Phone
(207) 846-9761

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician
Group: 193400000X SINGLE SPECIALTY GROUP
208000000X Yes

Addresses

Primary practice location

45 Forest Falls Dr
Yarmouth, ME 04096-6999

Mailing address

45 Forest Falls Dr
Yarmouth, ME 04096-6999
Phone (207) 846-9761

Other identifiers

IdentifierTypeStateIssuer
131530000MedicaidME

Other providers in Yarmouth, ME

All providers in Yarmouth, ME · Pediatrics Physician in Maine

Sources for this page

Verify at the official NPI Registry.