| NPI | 1205640604 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN GAVIN COTTER Provider/Owner 207-807-4452 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine Infectious Disease |
| Enumeration Date | 2025-02-05 |
| Last Update Date | 2025-07-10 |