NPI | 1538125034 |
---|---|
Doing Business As | GERIATRICS |
Entity Type | Organization |
Authorized Contact | BARBARA A CROWLEY Physician Network COO Rdinator 207-626-1063 |
Organization Subpart ? | No |
Primary Taxonomy | 207QG0300X Family Medicine Geriatric Medicine |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology Psychiatry |
363L00000X Nurse Practitioner | |
Enumeration Date | 2006-04-24 |
Last Update Date | 2007-10-04 |