Maine Dermatology, LLC

NPI #1710061494 in Lincolnville, Maine

Provider Information

NPI Number: 1710061494
Entity Type: Organization
Organization Name: Maine Dermatology, LLC
Primary Specialty: Dermatology
Enumeration Date: Oct 25, 2006
Last Updated: Jun 3, 2008

Practice Location

Address: 2239 ATLANTIC HWY
City: Lincolnville
State: Maine
ZIP Code: 04849-5310
Phone: (207) 230-1007

Authorized Official

Name: CHARMAINE JENSEN, D.O.
Title: OWNER/ DOCTOR
Phone: (207) 230-1007

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dermatology	207N00000X	Primary

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