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Organization
MAINE COMPREHENSIVE PAIN MANAGEMENT, PC
Active
Organization
MAINE COMPREHENSIVE PAIN MANAGEMENT, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERENCE KERNAN GRAY DO (PRESIDENT)
(860) 944-4708
Entity
Organization
Contact information
Practice address
400 ENTERPRISE DR STE 101, SCARBOROUGH, ME 04074-7662
(207) 289-6726
(207) 289-1219
Mailing address
400 ENTERPRISE DR STE 101, SCARBOROUGH, ME 04074-7662
(207) 289-6726
(207) 289-1219
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
—
NULL
208VP0000X
Pain Medicine Physician
—
—
208VP0014X
Interventional Pain Medicine Physician
—
NULL
208VP0014X
Interventional Pain Medicine Physician
—
—
261QM2500X
Medical Specialty Clinic/Center
Primary
—
NULL
Other
Enumeration date
10/14/2018
Last updated
09/25/2019
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