| NPI | 1467422733 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM G FERENTZ Chief Financial Officer 207-523-3648 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207N00000X Dermatology |
| 207Q00000X Family Medicine | |
| 207QS0010X Family Medicine, Sports Medicine | |
| 207RC0000X Internal Medicine, Cardiovascular Disease | |
| 207V00000X Obstetrics & Gynecology | |
| 208000000X Pediatrics | |
| 225100000X Physical Therapist | |
| Enumeration Date | 2006-01-26 |
| Last Update Date | 2021-07-15 |