NPI | 1639194509 |
---|---|
Doing Business As | MMP FAMILY MEDICINE |
Entity Type | Organization |
Authorized Contact | LUGENE ANTHONY INZANA Chief Financial Officer 207-662-3538 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 1041C0700X Social Worker, Clinical |
207QG0300X Family Medicine, Geriatric Medicine | |
207QS0010X Family Medicine, Sports Medicine | |
2084P0800X Psychiatry & Neurology, Psychiatry | |
363A00000X Physician Assistant | |
363LW0102X Nurse Practitioner, Women's Health | |
Enumeration Date | 2006-07-13 |
Last Update Date | 2022-12-19 |