Organization
PENOBSCOT COMMUNITY HEALTH CENTER
Active
Other names
Brewer High School Based Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
LORI L. DWYER ESQ. (PRESIDENT & CEO)
(207) 992-9200
Entity
Organization
Contact information
Practice address
79 PARKWAY S, BREWER, ME 04412
(207) 992-2456
(207) 992-2154
Mailing address
PO BOX 1599, 103 MAINE AVE, BANGOR, ME 04402-1599
(207) 945-5247
(207) 992-2154
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
10/02/2006
Last updated
08/06/2018
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