| NPI | 1952536880 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY DEAN PITTIS Dermatologist 207-942-0669 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: ME ME013153) |
| Enumeration Date | 2009-05-21 |
| Last Update Date | 2009-06-03 |