| NPI | 1003248436 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEGAN SHOREY Office Manager 207-776-2411 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208800000X Urology |
| Additional Taxonomies | 2088F0040X Urology, Female Pelvic Medicine and Reconstructive Surgery |
| 2088P0231X Urology, Pediatric Urology | |
| Enumeration Date | 2013-08-08 |
| Last Update Date | 2013-08-08 |