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Organization
NORTHERN NEW ENGLAND PRIMARY CARE
Active
Organization
NORTHERN NEW ENGLAND PRIMARY CARE
Active
Other names
Manchester Family Health
Organization subpart
No
Provider details
NPI number
Authorized official
DOUGLAS JORGENSEN DO (MANAGING MEMBER)
(207) 622-4500
Entity
Organization
Contact information
Practice address
23 BOWDOIN ST, MANCHESTER, ME 04351
(207) 629-5522
(207) 512-8793
Mailing address
23 BOWDOIN ST, MANCHESTER, ME 04351
(207) 629-5522
(207) 512-8793
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
01/13/2011
Last updated
09/10/2013
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