| NPI | 1477073138 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARL F LIEBERMANN Physician/President 207-299-5749 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: MA 249400) |
| Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty (Licence: MA 249400) |
| Enumeration Date | 2017-06-23 |
| Last Update Date | 2017-06-23 |