| Fairhaven Family Medicine | |
|
1030 East Fairhaven Avenue Burlington WA 98233 | |
| (360) 755-0311 | |
| (360) 755-1272 |
| Full Name | Fairhaven Family Medicine |
|---|---|
| Speciality | Family Medicine |
| Location | 1030 East Fairhaven Avenue, Burlington, Washington |
| Authorized Official Name and Position | Stephen M Aldrich (MD) |
| Authorized Official Contact | 3607550311 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fairhaven Family Medicine Po Box 468 Burlington WA 98233 Ph: (360) 755-0311 | Fairhaven Family Medicine 1030 East Fairhaven Avenue Burlington WA 98233 Ph: (360) 755-0311 |
| NPI Number | 1215041637 |
|---|---|
| Provider Enumeration Date | 08/19/2006 |
| Last Update Date | 01/07/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215041637 | NPI | - | NPPES |
| S57930 | Other | WA | REGENCE BLUE SHIELD |
| 7816200 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MD00013642 (Washington) | Secondary |
| 207Q00000X | Family Medicine | MD00023548 (Washington) | Primary |
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