| NPI | 1336638659 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALLAN J BOGDAN Physician 207-706-9373 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: ME MD21363) |
| Enumeration Date | 2018-05-02 |
| Last Update Date | 2018-05-02 |