| NPI | 1689903007 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRADLEY N LIBENSON Owner And Provider 207-698-7900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: ME 1276) |
| Enumeration Date | 2009-12-14 |
| Last Update Date | 2009-12-14 |