Organization
U.S. HEALTHWORKS MEDICAL GROUP OF MAINE, INC.
Active
Parent organization
U.S. HEALTHWORKS MEDICAL GROUP OF MAINE, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
U.S. HEALTHWORKS MEDICAL GROUP OF MAINE, INC.
Authorized official
MR. JOSEPH T MALLA (PRESIDENT & CHIEF EXECUTIVE OFFICER)
(661) 678-2600
Entity
Organization
Contact information
Practice address
400 SOUTHBOROUGH DR, SOUTH PORTLAND, ME 04106-3249
(207) 761-1100
(207) 761-3700
Mailing address
25124 SPRINGFIELD CT, 200, VALENCIA, CA 91355-1085
(661) 678-2600
(661) 678-2700
Taxonomy
Speciality
Code
Description
License number
State
2083X0100X
Occupational Medicine Physician
—
—
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
Other
Enumeration date
10/03/2016
Last updated
10/03/2016
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