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Organization
SOUTHERN MAINE PHYSICAL MEDICINE AND REHABILITATION, PLLC
Active
Organization
SOUTHERN MAINE PHYSICAL MEDICINE AND REHABILITATION, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELWOOD I FOX D.O. (PRESIDENT/PHYSICIAN)
(207) 893-2992
Entity
Organization
Contact information
Practice address
335 BRIGHTON AVE, PORTLAND, ME 04102-2362
(207) 775-4000
Mailing address
PO BOX 178, GORHAM, ME 04038-0178
(207) 893-2992
Taxonomy
Speciality
Code
Description
License number
State
204C00000X
Sports Medicine (Neuromusculoskeletal Medicine) Physician
Primary
1709
ME
Other
Enumeration date
06/02/2006
Last updated
07/21/2008
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