VLADIMIR J WORMWOOD

PORTLAND, ME
NPI1417026634
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AS0400X Physician Assistant, Surgical
(Licence: ME  PA-433)
Enumeration Date2006-11-06
Last Update Date2013-01-21
Business Address
-- VLADIMIR J WORMWOOD PA-C
818 CONGRESS ST
PORTLAND, ME 04102-3112
Phone number: 207-773-8161
Mailing Address
-- VLADIMIR J WORMWOOD PA-C
301C US ROUTE 1
SCARBOROUGH, ME 04074-9701
Phone number: 207-396-8600
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