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Contact Information

PETER H BAGLEY, MD
6 GLEN COVE DR
ROCKPORT, ME04856-4272
 Phone: 207-301-8542
 Fax: 207-301-5277
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pulmonary Disease

207RP1001X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for PETER H BAGLEY · (Male)

NPI # 1003899683
Status Active
Credentials MD
Entity Individual
Enumeration date 11/28/2005
Last updated 10/10/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • MA License # 73375
  • ME License # MD21833
  • MA Medicaid 3068315
Hospital affiliation(s)
  • ST MARYS REGIONAL MEDICAL CENTER - (Acute Care)
    CAMPUS AVENUE - PO BOX 291
    LEWISTON, ME 04240
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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