# ANDROSCOGGIN OSTEOPATHIC, LLC,

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Central Maine Osteopathic, LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1144638412
- **Authorized official:** DR. STEPHEN R BERGMAN DO (OWNER)
- **Authorized official phone:** (207) 241-0945

## Contact information

- **Practice address:** 95 PARK ST, SUITE 519, LEWISTON, ME 04240-7282
- **Practice address phone:** (207) 241-0945
- **Practice address fax:** (207) 241-0955
- **Mailing address:** 95 PARK ST, SUITE 519, LEWISTON, ME 04240-7282
- **Mailing address phone:** (207) 241-0945
- **Mailing address fax:** (207) 241-0955

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 204D00000X | Neuromusculoskeletal Medicine & OMM Physician | DO2336 | ME | Yes |

## Other

- **Enumeration date:** 07/30/2014
- **Last updated:** 03/20/2015