State of Maine

NPI #1376781153 in Rockland, Maine

Provider Information

NPI Number: 1376781153
Entity Type: Organization
Organization Name: State of Maine
Primary Specialty: Point of Service
Enumeration Date: Feb 1, 2009
Last Updated: Feb 1, 2009

Practice Location

Address: 91 CAMDEN ST
Address 2: SUITE 103
City: Rockland
State: Maine
ZIP Code: 04841-2455
Phone: (207) 596-4200

Authorized Official

Name: MR. JOHN E BALDACCI, GOV
Title: GOVERNOR
Phone: (207) 287-3531

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Point of Service	305S00000X	Primary

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