Organization
AUGUSTA NEUROLOGY PA
Active
Organization
AUGUSTA NEUROLOGY PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JUTTA M EICHELMAN MD PHD (SOLE SHAREHOLDER PRESIDENT TREASURE)
(207) 626-5445
Entity
Organization
Contact information
Practice address
55 MIDDLE STREET, SUITE 1, AUGUSTA, ME 04330
(207) 626-5445
(207) 626-5446
Mailing address
55 MIDDLE STREET, SUITE 1, AUGUSTA, ME 04330
(207) 626-5445
(207) 626-5446
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
013795
ME
Other
Enumeration date
09/20/2006
Last updated
08/22/2020
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