NPI | 1699076133 |
---|---|
Doing Business As | MMC DIABETES CONSULT SERVICE |
Entity Type | Organization |
Authorized Contact | LUGENE ANTHONY INZANA Associate CFO 207-662-3538 |
Organization Subpart ? | No |
Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism |
Enumeration Date | 2010-11-16 |
Last Update Date | 2020-05-11 |