Mid-Coast Spine & Sport

NPI #1669052601 in Boothbay Harbor, Maine

Provider Information

NPI Number
1669052601
Entity Type
Organization
Organization Name
Mid-Coast Spine & Sport
Primary Specialty
Chiropractor
Enumeration Date
Apr 13, 2021
Last Updated
May 12, 2021

Practice Location

Address
18 WEST ST
State
Maine
ZIP Code
04538-1849
Phone
(207) 633-5500

Authorized Official

Name
BRADY ROBERT FERGOLA, DC
Title
OWNER
Phone
(207) 633-5500

Specialties & Taxonomy Codes

Specialty
Chiropractor

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Organizations

Provider Name
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