| NPI | 1841539160 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL MCLAUGHLIN Practice Administrator 207-947-8381 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant Surgical (Licence: ME PA1378) |
| Enumeration Date | 2013-02-06 |
| Last Update Date | 2013-02-06 |