NPI | 1598152035 |
---|---|
Entity Type | Organization |
Authorized Contact | CHARLES D THERRIEN CEO/President 207-664-5301 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine |
Additional Taxonomies | 208000000X Pediatrics |
Enumeration Date | 2015-04-22 |
Last Update Date | 2015-04-22 |