is a Specialist in Brunswick, Maine. practices all healthcare services and medical treatments related to Specialist. The NPI Number for is 1790896256. The last update date is .
's current location address is 121 Medical Center Dr, Brunswick, Maine. You can contact this provider via phone number 2077218700 and fax number 2077218715. The mailing address for is 121 Medical Center Dr, Brunswick, Maine. To know further, please read the information below!
Provider Profile Detail
| Provider Name | |
|---|---|
| Address | 121 Medical Center Dr, Brunswick, Maine |
| Phone Number | 2077218700 |
| Fax Number | 2077218715 |
| Sole Proprietor | -- |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1790896256 |
|---|---|
| Provider Enumeration Date | |
| Last Updated Date |
Provider Mailing Address Detail
| Address | 121 Medical Center Dr |
|---|---|
| City | Brunswick |
| State | Maine (ME) |
| Post Code | 40112653 |
| Phone Number | 2077218700 |
| Fax Number | 2077218715 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | 16266 |
|
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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