| NPI | 1912009416 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN KATZ Owner 207-442-0325 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 207QS0010X Family Medicine Sports Medicine |
| 363L00000X Nurse Practitioner | |
| 363LA2200X Nurse Practitioner Adult Health | |
| Enumeration Date | 2006-09-04 |
| Last Update Date | 2023-11-22 |