Maine Coast Mobile Med. LLC

NPI #1184955692 in Bangor, Maine

Provider Information

NPI Number: 1184955692
Entity Type: Organization
Organization Name: Maine Coast Mobile Med. LLC
Primary Specialty: Radiologic Technologist
Enumeration Date: Jan 22, 2010
Last Updated: Mar 17, 2018

Practice Location

Address: 1576 HAMMOND ST STE C
City: Bangor
State: Maine
ZIP Code: 04401-5751
Phone: (207) 460-8882

Authorized Official

Name: MR. PHILIP J. FORST, RADIOGRAPHER
Title: OWNER
Phone: (207) 460-8882

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Radiologic Technologist	247100000X	Primary

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