| NPI | 1336538198 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | ROGER A. POITRAS Chief Executive Officer 207-347-2853 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 207R00000X Internal Medicine | 
| Additional Taxonomies | 207Q00000X Family Medicine | 
| 207V00000X Obstetrics & Gynecology | |
| 208000000X Pediatrics | |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| 208600000X Surgery | |
| Enumeration Date | 2015-01-16 | 
| Last Update Date | 2025-08-21 |