| NPI | 1780149260 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | DAVID LANGDON Md, President 207-784-2554  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology | 
| Additional Taxonomies | 2085R0204X Radiology, Vascular & Interventional Radiology | 
| Enumeration Date | 2019-02-08 | 
| Last Update Date | 2019-02-08 |