| NPI | 1528535739 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROGER A. POITRAS Chief Executive Officer 207-347-2853 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 207QS0010X Family Medicine Sports Medicine |
| 207R00000X Internal Medicine | |
| 207L00000X Anesthesiology | |
| 207Q00000X Family Medicine | |
| 207RC0000X Internal Medicine Cardiovascular Disease | |
| 2081P2900X Physical Medicine & Rehabilitation Pain Medicine | |
| 2084N0400X Psychiatry & Neurology Neurology | |
| 225100000X Physical Therapist | |
| Enumeration Date | 2018-10-25 |
| Last Update Date | 2025-08-21 |