| NPI | 1942277819 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA CARON COO 207-498-2356 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 176B00000X Midwife |
| 207Q00000X Family Medicine | |
| 207V00000X Obstetrics & Gynecology | |
| 207W00000X Ophthalmology | |
| 207XP3100X Orthopaedic Surgery, Pediatric Orthopaedic Surgery | |
| 207XX0005X Orthopaedic Surgery, Sports Medicine | |
| 208000000X Pediatrics | |
| 208600000X Surgery | |
| 2086S0129X Surgery, Vascular Surgery | |
| 208800000X Urology | |
| 208M00000X Hospitalist | |
| 213ES0103X Podiatrist, Foot & Ankle Surgery | |
| 363A00000X Physician Assistant | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2006-03-01 |
| Last Update Date | 2021-01-15 |