# NORTHEAST CHIROPRACTIC CENTER PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1275825804
- **Authorized official:** DR. GEORGE P DE MAERTELAERE DC (DR/CEO)
- **Authorized official phone:** (207) 990-5711

## Contact information

- **Practice address:** 304 HANCOCK ST, SUITE 2G, BANGOR, ME 04401-6573
- **Practice address phone:** (207) 990-5711
- **Practice address fax:** (207) 990-5712
- **Mailing address:** 304 HANCOCK ST, 2G, BANGOR, ME 04401-6573
- **Mailing address phone:** (207) 990-5711
- **Mailing address fax:** (207) 990-5712

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111NN1001X | Nutrition Chiropractor | CR739 | ME | Yes |

## Other

- **Enumeration date:** 05/16/2011
- **Last updated:** 07/08/2011