| NPI | 1780846675 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENNIS J SULLIVAN President 207-647-3633 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: ME 011964) |
| Enumeration Date | 2008-07-01 |
| Last Update Date | 2023-11-28 |