| NPI | 1508087289 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA GOUSSE Practice Administrator 207-773-7964 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2023-02-03 |