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Organization

ORTHOPAEDIC ASSOCIATES OF PORTLAND, PA

Active
Parent organization
ORTHOPAEDIC ASSOCIATES OF PORTLAND, P.A.
Organization subpart
Yes

Provider details

NPI number
Legal business name
ORTHOPAEDIC ASSOCIATES OF PORTLAND, P.A.
Authorized official
MR. WILLIAM JOHN WIPFLER JD, MBA (CHIEF EXECUTIVE OFFICER)
(207) 828-2100
Entity
Organization

Contact information

Practice address
33 SEWALL STREET, PORTLAND, ME 04102
(207) 828-2100
(207) 828-2190
Mailing address
PO BOX 1260, PORTLAND, ME 04104-1260
(207) 828-2100
(207) 828-2190

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
ME

Other

Enumeration date
06/27/2006
Last updated
08/26/2009
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