Sebago Medical Group INC

NPI #1811632680 in Windham, Maine

Provider Information

NPI Number: 1811632680
Entity Type: Organization
Organization Name: Sebago Medical Group INC
Primary Specialty: Clinic/Center
Enumeration Date: May 4, 2022
Last Updated: May 4, 2022

Practice Location

Address: 110 TANDBERG TRL STE G
City: Windham
State: Maine
ZIP Code: 04062-5206
Phone: (207) 595-8756

Authorized Official

Name: DR. STEPHANIE ELENA CHIN, DNP, FNP-BC, APRN-CN
Title: CHIEF EXECUTIVE OFFICER
Phone: (207) 595-8756

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center	261Q00000X	Primary

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