| NPI | 1174722201 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VERNE M WEISBERG Medical Director 207-775-1933 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery |
| Enumeration Date | 2007-07-18 |
| Last Update Date | 2007-07-18 |