| NPI | 1790826915 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARC OLIVER SIEGEL Manager Owner 207-351-3530 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: ME 015606) |
| Enumeration Date | 2007-02-09 |
| Last Update Date | 2020-08-22 |