| NPI | 1295607836 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROGER POITRAS Chief Executive Officer 207-347-2947 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Additional Taxonomies | 207N00000X Dermatology |
| 207ND0101X Dermatology, MOHS-Micrographic Surgery | |
| 207Y00000X Otolaryngology | |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| 231H00000X Audiologist | |
| Enumeration Date | 2025-09-23 |
| Last Update Date | 2025-09-23 |