Organization
MAINE NEPHROLOGY ASSOCIATES P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL C AKOM MD (PRESIDENT)
(207) 774-5222
Entity
Organization
Contact information
Practice address
1600B CONGRESS ST, PORTLAND, ME 04102-2124
(207) 774-5222
(207) 761-4433
Mailing address
1600B CONGRESS ST, PORTLAND, ME 04102-2124
(207) 774-5222
(207) 761-4433
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
123110000
—
ME
Enumeration date
05/09/2007
Last updated
02/09/2018
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