Neurologic Diagnostic Services of Eastern Maine, P.a.

NPI #1457520827 in Bangor, Maine

Provider Information

NPI Number: 1457520827
Entity Type: Organization
Organization Name: Neurologic Diagnostic Services of Eastern Maine, P.a.
Primary Specialty: Physiological Laboratory
Enumeration Date: Feb 29, 2008
Last Updated: Jun 21, 2018

Practice Location

Address: 498 ESSEX ST
City: Bangor
State: Maine
ZIP Code: 04401-3990
Phone: (207) 947-0340

Authorized Official

Name: MR. BRUCE A ROSCHER
Title: CHIEF FINANCIAL OFFICER
Phone: (207) 947-0558

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physiological Laboratory	293D00000X	Primary

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