person
Dr. Alexandra Maria Elizabeth Idenburg, MD,MRCGP(UK)
General Practice Physician in Pittsfield, Maine
NPI 1992133102

Alexandra Maria Elizabeth Idenburg is a General Practice Physician based in Pittsfield, ME. Alexandra Maria Elizabeth Idenburg practices in Pittsfield, ME and has the professional credentials of MD,MRCGP(UK). The NPI Number for Alexandra Maria Elizabeth Idenburg is 1992133102 and holds a License No. MD19326 (Maine).

The current practice location address for Alexandra Maria Elizabeth Idenburg is 105 Main St, Pittsfield, ME and can be reached out via phone at 207-487-7292 and via fax at 207-487-7156.

Location: 105 Main St, Pittsfield, ME, 04967-4364
person
Provider Profile Details
NPI Number
1992133102
Provider Name
Alexandra Maria Elizabeth Idenburg
Credential
MD,MRCGP(UK)
Provider Entity Type
Individual
Gender
Female
Address
105 Main St, Pittsfield, ME, 04967-4364
Phone Number
207-487-7292
Fax Number
207-487-7156
Provider Enumeration Date
10/25/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1558862508 01 ME WELLCARE
1558862508 01 ME USFHP
1558862508 01 ME HARVARD PILGRIM
1558862508 01 ME UNITED HEALTH CARE
1992133102 01 ME UNITED HEALTH CARE
1558862508 05 ME
1992133102 01 ME HEALTH PLANS INC
1992133102 01 ME AETNA & AETNA/US HEALTHCARE
1992133102 01 ME CIGNA
1992133102 01 ME BCBS
1992133102 01 ME USFHP
1558862508 01 ME HUMANA
1558862508 01 ME BCBS
1558862508 01 ME CIGNA
1558862508 01 ME HEALTH PLANS INC
1992133102 01 ME HUMANA
1992133102 05 ME
1558862508 01 ME AETNA & AETNA/US HEALTHCARE
1992133102 01 ME WELLCARE
1992133102 01 ME HARVARD PILGRIM
institution
Provider Business Practice Location Address Details
Address
105 Main St
City
State
Zip
04967-4364
Phone Number
207-487-7292
Fax Number
207-487-7156
person
Provider Business Mailing Address Details
Address
105 Main St
City
State
Zip
04967-4364
Phone Number
207-487-7292
Fax Number
207-487-7156
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
MD19326 (Maine)
Definition
Definition to come...
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