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Organization

STANDISH FAMILY PRACTICE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
RUSSELL REMALIA DO (OWNER AND PROVIDER)
(207) 642-4434
Entity
Organization

Contact information

Practice address
36 OSSIPEE TRAIL WEST, STANDISH, ME 04084
(207) 642-4434
(207) 642-4439
Mailing address
PO BOX 1537, STANDISH, ME 04084-1537
(207) 642-4434
(207) 642-4439

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
M107390
CIGNA
Enumeration date
01/18/2007
Last updated
04/07/2008
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