Casco Bay Medical Pllc

NPI #1669739389 in Portland, Maine

Provider Information

NPI Number
1669739389
Entity Type
Organization
Organization Name
Casco Bay Medical Pllc
Primary Specialty
Clinic/Center - Adult Mental Health
Enumeration Date
Apr 19, 2012
Last Updated
Apr 19, 2012

Practice Location

Address
371 FORE ST
Address 2
201
State
Maine
ZIP Code
04101-5112
Phone
(207) 772-3221

Authorized Official

Name
DR. JEREMY ASHLEY SPIEGEL, M.D.
Title
MEDICAL DIRECTOR
Phone
(207) 772-3221

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Adult Mental HealthAdult Mental Health

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