Northern New England Primary Care
NPI #1386949808 in Manchester, Maine
Provider Information
- NPI Number
- 1386949808
- Entity Type
- Organization
- Organization Name
- Northern New England Primary Care
- Primary Specialty
- Family Medicine
- Enumeration Date
- Jan 13, 2011
- Last Updated
- Sep 10, 2013
Practice Location
- Address
- 23 BOWDOIN ST
- City
- Manchester
- State
- Maine
- ZIP Code
- 04351
- Phone
- (207) 629-5522
Authorized Official
- Name
- DOUGLAS JORGENSEN, DO
- Title
- MANAGING MEMBER
- Phone
- (207) 622-4500
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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