Gorham Primary Care PC

NPI #1851558399 in Gorham, Maine

Provider Information

NPI Number
1851558399
Entity Type
Organization
Organization Name
Gorham Primary Care PC
Primary Specialty
Family Medicine
Enumeration Date
May 21, 2008
Last Updated
Jul 15, 2008

Practice Location

Address
130 MAIN ST
City
Gorham
State
Maine
ZIP Code
04038-1319
Phone
(207) 839-5551

Authorized Official

Name
DR. ANDREW STUART NICHOLSON, M.D.
Title
DIRECT/INDIRECT OWNER
Phone
(207) 839-5551

Specialties & Taxonomy Codes

Specialty
Family Medicine

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