Mid-Maine Radiology, P.a
NPI #1356328421 in Waterville, Maine
Provider Information
- NPI Number
- 1356328421
- Entity Type
- Organization
- Organization Name
- Mid-Maine Radiology, P.a
- Primary Specialty
- Radiology - Diagnostic Radiology
- Enumeration Date
- Dec 29, 2005
- Last Updated
- Jul 16, 2007
Practice Location
- Address
- 149 NORTH ST
- City
- Waterville
- State
- Maine
- ZIP Code
- 04901-4974
- Phone
- (207) 873-0729
Authorized Official
- Name
- JONATHAN HALLENBECK, M.D.
- Title
- PRESIDENT
- Phone
- (207) 784-2554
Specialties & Taxonomy Codes
| Specialty |
|---|
| Radiology - Diagnostic Radiology — Diagnostic Radiology |
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