Organization
WESTERN MAINE MULTI MEDICAL SPECIALIST
Active
Other names
Western Maine Pediatrics
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN COX (SENIOR VP)
(207) 743-5933
Entity
Organization
Contact information
Practice address
193 MAIN ST, SUITE 9, NORWAY, ME 04268-5645
(207) 743-8766
Mailing address
39 WALLACE AVE, SOUTH PORTLAND, ME 04106-6143
(207) 743-8766
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
08/30/2006
Last updated
08/22/2020
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