Organization
NEW ENGLAND TELEMEDICINE PA
Active
Other names
New England Telemedicine
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TRUSTIN ROY ENNACHERIL MD (PRESIDENT/CEO)
(855) 275-0464
Entity
Organization
Contact information
Practice address
98 ROUTE 236, SUITE 2, KITTERY, ME 03904-5527
(855) 275-0464
(207) 703-2780
Mailing address
98 ROUTE 236, SUITE #2, KITTERY, ME 03904-5527
(855) 275-0464
(207) 703-2780
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
07/12/2013
Last updated
10/18/2013
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