Provider Demographics
NPI:1861551962
Name:BABBITT, ANN M (MD)
Entity type:Individual
Prefix:DR
First Name:ANN
Middle Name:M
Last Name:BABBITT
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:800 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:SOUTH PORTLAND
Mailing Address - State:ME
Mailing Address - Zip Code:04106-6049
Mailing Address - Country:US
Mailing Address - Phone:207-828-1133
Mailing Address - Fax:207-828-8077
Practice Address - Street 1:800 MAIN ST
Practice Address - Street 2:
Practice Address - City:SOUTH PORTLAND
Practice Address - State:ME
Practice Address - Zip Code:04106-6049
Practice Address - Country:US
Practice Address - Phone:207-828-1133
Practice Address - Fax:207-828-8077
Is Sole Proprietor?:No
Enumeration Date:2006-12-06
Last Update Date:2008-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ME207X00000X174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
ME001128OtherANTHEM
ME125830099Medicaid
ME0505160001Medicare NSC
ME001128OtherANTHEM
ME125830099Medicaid