Family Health Center of Southern Maine, P.a.
NPI #1477692010 in South Portland, Maine
Provider Information
- NPI Number
- 1477692010
- Entity Type
- Organization
- Organization Name
- Family Health Center of Southern Maine, P.a.
- Primary Specialty
- Family Medicine
- Enumeration Date
- Feb 6, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 778 MAIN ST
- Address 2
- SUITE #1
- City
- South Portland
- State
- Maine
- ZIP Code
- 04106-5447
- Phone
- (207) 775-7758
Authorized Official
- Name
- DR. JOHN EDWARD KAZILIONIS, D.O.
- Title
- PRESIDENT
- Phone
- (207) 775-7758
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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