Organization
SOUTHERN MAINE EYE ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDWARD H JACCOMA MD (PHYSICIAN/OWNER)
(207) 324-7946
Entity
Organization
Contact information
Practice address
272 COTTAGE ST, SANFORD, ME 04073-1815
(207) 324-7946
(207) 636-5023
Mailing address
272 COTTAGE ST, SANFORD, ME 04073-1815
(207) 324-7946
(207) 636-5023
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
01/31/2013
Last updated
03/25/2013
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