| NPI | 1568615649 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TEHSEEN NAQVI Owner 207-899-3680 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine (Licence: ME 017608) |
| Enumeration Date | 2008-11-03 |
| Last Update Date | 2009-04-09 |