| NPI | 1184751760 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARVIN A EISENGART President 207-873-1990 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: ME 007664) |
| Additional Taxonomies | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: ME 007665) |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2020-08-22 |