| NPI | 1164610242 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUGENE ANTHONY INZANA SVP Finance/CFO 207-662-3538 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine Geriatric Medicine |
| Additional Taxonomies | 207QG0300X Family Medicine Geriatric Medicine |
| Enumeration Date | 2007-10-15 |
| Last Update Date | 2025-04-01 |