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Organization
WESTERN MAINE MULTI-MEDICAL SPECIALISTS
Active
Organization
WESTERN MAINE MULTI-MEDICAL SPECIALISTS
Active
Other names
Western Maine Family Practice
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN COX (SR VP FISCAL)
(207) 743-9292
Entity
Organization
Contact information
Practice address
34 WINTER ST, NORWAY, ME 04268-5620
(207) 743-8031
(207) 743-6672
Mailing address
301 US ROUTE 1, BUILDING C, SCARBOROUGH, ME 04074-7609
(207) 396-8600
(207) 396-8632
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
127080007
—
ME
05
—
127080103
—
ME
Enumeration date
03/18/2010
Last updated
10/10/2014
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