# NORTHERN NEW ENGLAND PRIMARY CARE

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Manchester Family Health
- **Organization subpart:** No

## Provider details

- **NPI number:** 1386949808
- **Authorized official:** DOUGLAS JORGENSEN DO (MANAGING MEMBER)
- **Authorized official phone:** (207) 622-4500

## Contact information

- **Practice address:** 23 BOWDOIN ST, MANCHESTER, ME 04351
- **Practice address phone:** (207) 629-5522
- **Practice address fax:** (207) 512-8793
- **Mailing address:** 23 BOWDOIN ST, MANCHESTER, ME 04351
- **Mailing address phone:** (207) 629-5522
- **Mailing address fax:** (207) 512-8793

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/13/2011
- **Last updated:** 09/10/2013