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Organization
NEW ENGLAND TELEMEDICINE PA
Active
Organization
NEW ENGLAND TELEMEDICINE PA
Active
Other names
New England Telemedicine
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TRUSTIN ROY ENNACHERIL MD (PRESIDENT/CEO)
(855) 275-0464
Entity
Organization
Contact information
Practice address
98 ROUTE 236, SUITE 2, KITTERY, ME 03904-5527
(855) 275-0464
(207) 703-2780
Mailing address
98 ROUTE 236, SUITE #2, KITTERY, ME 03904-5527
(855) 275-0464
(207) 703-2780
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
NULL
Other
Enumeration date
07/12/2013
Last updated
10/18/2013
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