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Contact Information

GORDON T CALDWELL JR, MD
77 BATES ST
SUITE 102
LEWISTON, ME04240-7637
 Phone: 207-783-2300
 Fax: 207-783-2439
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pain Medicine

208VP0000X 72 Physician/Pain Management
Indicates primary specialty

NPI Profile & details for GORDON T CALDWELL JR · (Male)

NPI # 1376510057
Status Active
Credentials MD
Entity Individual
Enumeration date 03/02/2006
Last updated 04/28/2011 - About 15 years ago
Sole proprietor 1 No
Identifiers
  • ME License # 012721
  • ME Medicaid 272410099
  • Other 2075723 AETNA
  • Other 030495 BCBS
  • Other 010424957 CHAMPUS
  • Other M52001 CIGNA
  • Other 010424957 EMPLOY STANDARDS
  • Other E19633 HARVARD PILGRIM
  • Other 25012128 MEDICARE RAILROAD
  • Other 010424957 STANDARD TAX ID
  • Other 010424957 TRICARE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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