Organization
MAINE SURGICAL ASSISTANTS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINA JEAN JORDAN CFA (OWNER)
(207) 415-0445
Entity
Organization
Contact information
Practice address
37 WHITTIER LANE, CASCO, ME 04015-0343
(207) 415-0445
(207) 627-6024
Mailing address
PO BOX 343, CASCO, ME 04015-0343
(207) 415-0445
(207) 627-6024
Taxonomy
Speciality
Code
Description
License number
State
246ZS0410X
Surgical Technologist
Primary
94035
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1083763858
NPI
ME
Enumeration date
01/25/2007
Last updated
08/22/2020
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