| NPI | 1619138401 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINE MARIE DAIGLE Billing/Credentialing Manager 207-879-8989 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology |
| Enumeration Date | 2008-06-24 |
| Last Update Date | 2008-06-24 |