| NPI | 1720532773 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OLGA KOZLOVA Neurologist 207-408-9300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: IL 036.133912) |
| Enumeration Date | 2016-08-08 |
| Last Update Date | 2023-07-27 |