Organization
MAINE MOBILE DIAGNOSTICS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA GUIDA (OFFICE MANAGER)
(845) 897-3330
Entity
Organization
Contact information
Practice address
8 TREMONT ST, SOUTH PORTLAND, ME 04106-6129
(845) 897-3330
(845) 897-3753
Mailing address
1032 MAIN ST, FISHKILL, NY 12524-3503
(845) 897-3330
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
02/21/2020
Last updated
02/21/2020
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