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1174689343
BERT IRA BEVERLY
WATERVILLE, ME
NPI
1174689343
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207R00000X Internal Medicine
(Licence: ME 012762)
Enumeration Date
2006-12-29
Last Update Date
2007-07-09
Business Address
Dr. BERT IRA BEVERLY M.D.
258 MAIN ST
WATERVILLE, ME 04901-4857
Phone number: 207-873-2220
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Mailing Address
Dr. BERT IRA BEVERLY M.D.
258 MAIN ST
WATERVILLE, ME 04901-4857
Phone number: 207-873-2220
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