| NPI | 1366453730 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SIRISH MADDALI Medical Director 207-775-3446 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical |
| Additional Taxonomies | 208200000X Plastic Surgery |
| 2082S0105X Plastic Surgery Surgery of the Hand | |
| 261QA1903X Clinic/Center Ambulatory Surgical (Licence: ME 36164) | |
| Enumeration Date | 2006-08-11 |
| Last Update Date | 2025-07-01 |