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20D0088795 CLIA NUMBER - CAPE ELIZABETH INTERNAL MEDICINE

Laboratory Demographics

CLIA Number: 20D0088795

Facility Name: CAPE ELIZABETH INTERNAL MEDICINE

Facility Address:
155 SPURWINK AVENUE
CAPE ELIZABETH, ME
ZIP 04107
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Facility Phone Number: 207 767-2174

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1598780447

Taxonomy: 207R00000X - Internal Medicine
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

CLIA Record

Field Name Field Value
CLIA Number 20D0088795
LAB Type Physician Office
Facility Name CAPE ELIZABETH INTERNAL MEDICINE
Street 155 SPURWINK AVENUE
City CAPE ELIZABETH
State ME
ZIP 04107
Phone 207 767-2174
CertificateType 4
CertificateEffectiveDate 6/20/2023
CertificateExpirationDate 6/19/2025
FacilityType Waiver

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This page was last updated on: 4/23/2024