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1164297990
FORE RIVER UROLOGY LLC
SOUTH PORTLAND, ME
NPI
1164297990
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Entity Type
Organization
Authorized Contact
MEGAN SHOREY
Practice Manager
207-518-6600
Organization Subpart ?
No
Primary Taxonomy
332900000X Non-Pharmacy Dispensing Site
Enumeration Date
2023-11-21
Last Update Date
2023-11-21
Business Address
FORE RIVER UROLOGY LLC
21 DONALD B DEAN DR STE 1
SOUTH PORTLAND, ME 04106-3252
Phone number: 207-518-6600
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Mailing Address
FORE RIVER UROLOGY LLC
21 DONALD B DEAN DR STE 1
SOUTH PORTLAND, ME 04106-3252
Phone number: 207-518-6600
Copy