| NPI | 1851558399 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW STUART NICHOLSON Direct/Indirect Owner 207-839-5551 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: ME 015480) |
| Enumeration Date | 2008-05-21 |
| Last Update Date | 2008-07-15 |