Organization
CENTRAL MAINE ORTHOPAEDICS, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW DONALD BUSH M.D. (PHYSICIAN/PRESIDENT)
(207) 783-1328
Entity
Organization
Contact information
Practice address
690 MINOT AVE, SUITE ONE, AUBURN, ME 04210-3922
(207) 783-1328
(207) 795-0260
Mailing address
690 MINOT AVE, SUITE 1, AUBURN, ME 04210-3922
(207) 783-1328
(207) 795-0260
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
—
—
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
213ES0103X
Foot & Ankle Surgery Podiatrist
—
—
363AS0400X
Surgical Physician Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
116640000
MAINECARE
ME
Enumeration date
07/24/2006
Last updated
10/07/2011
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