| NPI | 1669772836 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA DIRSA HANSEN Operations Consultant 207-730-7335 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: ME 1014) |
| Enumeration Date | 2010-10-22 |
| Last Update Date | 2010-10-22 |