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 |