NPI | 1346419843 |
---|---|
Entity Type | Organization |
Authorized Contact | RICHARD J MAZZEI Md Owner 207-947-2788 |
Organization Subpart ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: ME 010002) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: ME F0607063) |
363LF0000X Nurse Practitioner, Family (Licence: ME R030879) | |
Enumeration Date | 2008-02-28 |
Last Update Date | 2008-02-28 |