| NPI | 1679708168 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN M CORBETT Billing Representative 207-497-2996 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: ME 017412) |
| Enumeration Date | 2009-05-27 |
| Last Update Date | 2011-11-19 |