| NPI | 1144638412 |
|---|---|
| Former Legal Business Name | CENTRAL MAINE OSTEOPATHIC, LLC |
| Entity Type | Organization |
| Authorized Contact | STEPHEN R BERGMAN Owner 207-241-0945 |
| Organization Subpart ? | No |
| Primary Taxonomy | 204D00000X Neuromusculoskeletal Medicine & OMM (Licence: ME DO2336) |
| Enumeration Date | 2014-07-30 |
| Last Update Date | 2015-03-20 |