| NPI | 1922045145 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OWEN B PICKUS Medical Director 207-857-9311 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology |
| 207RC0000X Internal Medicine, Cardiovascular Disease | |
| 207R00000X Internal Medicine | |
| 363LF0000X Nurse Practitioner, Family | |
| 2084N0400X Psychiatry & Neurology, Neurology | |
| 207RG0100X Internal Medicine, Gastroenterology | |
| 208600000X Surgery | |
| Enumeration Date | 2006-05-31 |
| Last Update Date | 2013-09-09 |