FORE RIVER FAMILY MEDICINE, PA

PORTLAND, ME
NPI1144420332
Entity TypeOrganization
Authorized ContactCATHERINE CRUTE
President/ Owner
207-772-8823
Organization Subpart ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: ME  012111)
Enumeration Date2007-07-25
Last Update Date2008-04-20
Business Address
FORE RIVER FAMILY MEDICINE, PA
51 SEWALL ST
PORTLAND, ME 04102-2643
Phone number: 207-772-8823
Mailing Address
FORE RIVER FAMILY MEDICINE, PA
51 SEWALL ST
PORTLAND, ME 04102-2643
Phone number: 207-772-8823