Organization
SOUTHERN MAINE ALLERGY ASSOCIATES, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VASSILY MIHAILOFF MD (OWNER AND PROVIDER)
(207) 284-6114
Entity
Organization
Contact information
Practice address
28 W COLE RD, BIDDEFORD, ME 04005-9428
(207) 284-6114
(207) 282-6118
Mailing address
1050 WALL ST W STE 360, LYNDHURST, NJ 07071-3604
(201) 821-7900
Taxonomy
Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
125300000
—
ME
Enumeration date
03/23/2007
Last updated
02/27/2018
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