Southern Maine Eye Associates

NPI #1235478967 in Sanford, Maine

Provider Information

NPI Number: 1235478967
Entity Type: Organization
Organization Name: Southern Maine Eye Associates
Primary Specialty: Specialist
Enumeration Date: Jan 31, 2013
Last Updated: Mar 25, 2013

Practice Location

Address: 272 COTTAGE ST
City: Sanford
State: Maine
ZIP Code: 04073-1815
Phone: (207) 324-7946

Authorized Official

Name: EDWARD H JACCOMA, MD
Title: PHYSICIAN/OWNER
Phone: (207) 324-7946

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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