NPI | 1528535739 |
---|---|
Entity Type | Organization |
Authorized Contact | WILLIAM G FERENTZ Chief Financial Officer 207-523-3648 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine |
Additional Taxonomies | 207Q00000X Family Medicine |
Enumeration Date | 2018-10-25 |
Last Update Date | 2021-07-15 |