Maine Laser Skin Care, P.a.

NPI #1982033569 in Augusta, Maine

Provider Information

NPI Number: 1982033569
Entity Type: Organization
Organization Name: Maine Laser Skin Care, P.a.
Primary Specialty: Internal Medicine
Enumeration Date: Nov 5, 2013
Last Updated: Nov 5, 2013

Practice Location

Address: 12 SHUMAN AVE STE 7
City: Augusta
State: Maine
ZIP Code: 04330-6020
Phone: (207) 873-2158

Authorized Official

Name: DR. JOHN EDMUND BURKE, M.D.
Title: PRESIDENT
Phone: (207) 649-2414

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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