Provider Demographics
NPI:1871718676
Name:SZANTYR, BEATRICE MARY (MD)
Entity type:Individual
Prefix:
First Name:BEATRICE
Middle Name:MARY
Last Name:SZANTYR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MS
Other - First Name:BEATRICE
Other - Middle Name:SZANTYR
Other - Last Name:WEATHERBEE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 549
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:ME
Mailing Address - Zip Code:04457-0549
Mailing Address - Country:US
Mailing Address - Phone:207-794-6405
Mailing Address - Fax:207-794-8288
Practice Address - Street 1:26 ENFIELD RD
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:ME
Practice Address - Zip Code:04457-1190
Practice Address - Country:US
Practice Address - Phone:207-794-6405
Practice Address - Fax:207-794-8288
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ME012386207R00000X, 208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Not Answered208000000XAllopathic & Osteopathic PhysiciansPediatrics