| NPI | 1972579241 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINE MARIE DAIGLE Billing Manager 207-879-0094 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology |
| Enumeration Date | 2006-02-27 |
| Last Update Date | 2008-05-07 |