| NPI | 1699752055 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES IRWIN VP Of Fiscal Affairs 207-602-2157 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207QG0300X Family Medicine Geriatric Medicine |
| 1041C0700X Social Worker Clinical | |
| 204D00000X Neuromusculoskeletal Medicine & OMM | |
| 208000000X Pediatrics | |
| 207RG0100X Internal Medicine Gastroenterology | |
| 2084P0800X Psychiatry & Neurology Psychiatry | |
| 363AM0700X Physician Assistant Medical | |
| 363LA2200X Nurse Practitioner Adult Health | |
| 207RH0000X Internal Medicine Hematology | |
| 363LF0000X Nurse Practitioner Family | |
| 363LG0600X Nurse Practitioner Gerontology | |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health | |
| Enumeration Date | 2005-12-28 |
| Last Update Date | 2023-10-25 |