| NPI | 1336538198 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM G FERENTZ Chief Financial Officer 207-523-3648 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology |
| 208000000X Pediatrics | |
| Enumeration Date | 2015-01-16 |
| Last Update Date | 2021-07-15 |