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1326211582
BASEM MOHAMED ELBROLOSY
POLAND, ME
NPI
1326211582
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: ME MD24059)
Enumeration Date
2008-04-09
Last Update Date
2020-09-01
Business Address
BASEM MOHAMED ELBROLOSY M.D.
1230 MAINE ST
POLAND, ME 04274-7325
Phone number: 207-998-4483
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Mailing Address
BASEM MOHAMED ELBROLOSY M.D.
C/O ST MARYS HEALTH SYSTEM - PROVIDER ENROLLMENT PO BOX 7291
LEWISTON, ME 04240-7291
Phone number: 207-777-8950
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