Organization
MID-MAINE RADIOLOGY, P.A
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN HALLENBECK M.D. (PRESIDENT)
(207) 784-2554
Entity
Organization
Contact information
Practice address
149 NORTH ST, WATERVILLE, ME 04901-4974
(207) 873-0729
(207) 873-4338
Mailing address
PO BOX 766, WATERVILLE, ME 04903-0766
(207) 873-0729
(207) 873-4338
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Enumeration date
12/29/2005
Last updated
07/16/2007
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