| NPI | 1346687167 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNA JAUREGUI Dir Prvdr Enrollment & Cvo, Mhmg Pa 207-661-5414 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery |
| Additional Taxonomies | 207N00000X Dermatology |
| 207RH0003X Internal Medicine, Hematology & Oncology | |
| 208C00000X Colon & Rectal Surgery | |
| Enumeration Date | 2013-06-03 |
| Last Update Date | 2022-12-13 |