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Organization
THE PAIN MANAGEMENT CENTER OF MIDCOAST MAINE
Active
Organization
THE PAIN MANAGEMENT CENTER OF MIDCOAST MAINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN J KAZALSKI DO (DO OWNER)
(207) 882-1113
Entity
Organization
Contact information
Practice address
721 BATH RD, WISCASSET, ME 04578
(207) 882-1113
(207) 882-1114
Mailing address
PO BOX 810, WESTBROOK, ME 04098-0810
(207) 854-1544
(207) 854-1516
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
1767
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1912059353
INDIVIDUAL NPI #
ME
05
—
262680000
—
ME
Enumeration date
12/10/2007
Last updated
08/27/2008
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