| NPI | 1629553375 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER KENNEDY Authorized Official 207-807-9009 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2018-09-28 |
| Last Update Date | 2025-08-05 |