| NPI | 1568555498 |
|---|---|
| Doing Business As | PENOBSCOT PEDIATRICS |
| Entity Type | Organization |
| Authorized Contact | LORI L. DWYER President & CEO 207-992-9200 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: ME 201872) |
| Additional Taxonomies | 208000000X Pediatrics |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2019-11-07 |