Organization
MAINE REHABILITATIVE HEALTHCARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VINCENT P HERZOG D.O. (OWNER)
(207) 883-3434
Entity
Organization
Contact information
Practice address
306 US ROUTE 1, BUILDING B SOUTH, SCARBOROUGH, ME 04074-7640
(207) 883-3434
(207) 883-1424
Mailing address
306 US ROUTE 1, BUILDING B SOUTH, SCARBOROUGH, ME 04074-7640
(207) 883-3434
(207) 883-1424
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
1432
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
178380000
—
ME
Enumeration date
11/07/2006
Last updated
03/20/2013
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