Organization
CENTER FOR INTEGRATIVE AND REGENERATIVE MEDICINE
Active
Other names
Center for Integrative and Regenerative Medicine, Center for Integrative and Regenerative Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
JACQUELINE TARDIF (OFFICE MANAGER)
(207) 947-9200
Entity
Organization
Contact information
Practice address
277 STATE ST STE 1B, BANGOR, ME 04401-5440
(207) 947-9200
Mailing address
277 STATE ST STE 1B, BANGOR, ME 04401-5440
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
07/10/2020
Last updated
08/31/2020
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