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Organization
PENOBSCOT COMMUNITY HEALTH CENTER
Active
Organization
PENOBSCOT COMMUNITY HEALTH CENTER
Active
Other names
Brewer High School Based Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
LORI L. DWYER ESQ. (PRESIDENT & CEO)
(207) 992-9200
Entity
Organization
Contact information
Practice address
79 PARKWAY S, BREWER, ME 04412
(207) 992-2456
(207) 992-2154
Mailing address
PO BOX 1599, 103 MAINE AVE, BANGOR, ME 04402-1599
(207) 945-5247
(207) 992-2154
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
10/02/2006
Last updated
08/06/2018
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