| NPI | 1396823662 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA G IKOSSI CEO 207-782-5424 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: ME 012822) |
| Additional Taxonomies | 208600000X Surgery (Licence: CA C52151) |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2020-08-22 |