Organization
FORE RIVER UROLOGY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MEGAN SHOREY (PRACTICE MANAGER)
(207) 518-6600
Entity
Organization
Contact information
Practice address
21 DONALD B DEAN DR STE 1, SOUTH PORTLAND, ME 04106-3252
(207) 518-6600
(207) 541-7445
Mailing address
21 DONALD B DEAN DR STE 1, SOUTH PORTLAND, ME 04106-3252
(207) 518-6600
(207) 541-7445
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
—
—
Other
Enumeration date
11/21/2023
Last updated
11/21/2023
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