| NPI | 1457540486 |
|---|---|
| Doing Business As | MMC PEDIATRIC UROLOGY |
| Entity Type | Organization |
| Authorized Contact | LUGENE ANTHONY INZANA Associate CFO 207-662-3538 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2088P0231X Urology, Pediatric Urology |
| Enumeration Date | 2007-10-16 |
| Last Update Date | 2020-05-11 |