# CENTRAL MAINE PATHOLOGY

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

## Provider details

- **NPI number:** 1487607321
- **Authorized official:** DENNIS R NOVAK M.D. (VICE PRESIDENT)
- **Authorized official phone:** (207) 795-2338

## Contact information

- **Practice address:** 300 MAIN ST, LEWISTON, ME 04240-7007
- **Practice address phone:** (207) 795-2338
- **Mailing address:** PO BOX 1849, LEWISTON, ME 04241-1849
- **Mailing address phone:** (207) 784-2554
- **Mailing address fax:** (207) 777-5363

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207ZP0102X | Anatomic Pathology & Clinical Pathology Physician | — | NULL | Yes |
| 207ZP0102X | Anatomic Pathology & Clinical Pathology Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/19/2006
- **Last updated:** 08/22/2020