| NPI | 1568979631 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JILL D MAHONEY Physician/Owner 207-396-1440 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: ME MD17055) |
| Enumeration Date | 2018-01-10 |
| Last Update Date | 2018-01-10 |