| NPI | 1952559189 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN M CORBETT Billing Representative 207-497-2996 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine Hematology & Oncology (Licence: MA MA34117) |
| Enumeration Date | 2008-08-29 |
| Last Update Date | 2008-11-04 |