# NORTHERN NEW ENGLAND PRIMARY CARE

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- **Entity:** Organization
- **Status:** Active
- **Other names:** New England Sport and Spine, Maine Recovery Center, Vascular Center of New England
- **Organization subpart:** No

## Provider details

- **NPI number:** 1730187923
- **Authorized official:** DOUGLAS JOSEPH JORGENSEN (PRESIDENT, OWNER)
- **Authorized official phone:** (207) 622-4500

## Contact information

- **Practice address:** 29 BOWDOIN ST, MANCHESTER, ME 04351
- **Practice address phone:** (207) 622-4500
- **Practice address fax:** (207) 622-5452
- **Mailing address:** 29 BOWDOIN ST, MANCHESTER, ME 04351-3554
- **Mailing address phone:** (207) 622-4500
- **Mailing address fax:** (207) 622-5452

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | — | NULL | — |
| 111N00000X | Chiropractor | — | — | — |
| 204D00000X | Neuromusculoskeletal Medicine & OMM Physician | — | ME | Yes |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | NULL | — |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | — | — |
| 2086S0129X | Vascular Surgery Physician | — | NULL | — |
| 2086S0129X | Vascular Surgery Physician | — | — | — |

## Other

- **Enumeration date:** 07/12/2005
- **Last updated:** 08/12/2019