Robert Edward Gaetjens, MD,MPH
Individual provider Active NPI Occupational Medicine Physician · North Berwick, ME
NPI 1376563411 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1376563411
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Medicine Physician 2083X0100X
- License
- 10007 (ME)
- Practice address
- 113 Wells St.
Pratt &Whitney Aircraft
North Berwick, ME 03906 - Phone
- (207) 676-4100
- NPI assigned
- Jul 20, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10007 | ME | MD | Occupational Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Occupational Health Centers of the Southwest P.a. | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Medicine Physician | 2083X0100X | 10007 | ME | Yes |
Addresses
Primary practice location
113 Wells St.
Pratt &Whitney Aircraft
North Berwick, ME 03906
Mailing address
PO Box 282
Barrington, NH 03825-0282
Phone (207) 676-4100
Other providers in North Berwick, ME
- Patricia Dolan
- Doughty Falls Physical Therapy PLLC
- Rebecca S. Dubay
- Eve M Ellison
- Alexando Orlando Fusco
- Karen Gori
- Laurie L Heselton
- Charles W Hintermeister
- Jessica Hobgood
- Laura E Houdlette
All providers in North Berwick, ME · Occupational Medicine Physician in Maine
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.