Organization
PORTLAND SURGICAL ASSOCIATES
Active
Other names
Dr Benjamin Russell Dr Christopher Rogers
Organization subpart
No
Provider details
NPI number
Authorized official
BENJAMIN L RUSSELL DO (MANAGING PARTNER)
(207) 878-3177
Entity
Organization
Contact information
Practice address
195 FORE RIVER PARKWAY, SUITE 420, PORTLAND, ME 04102
(207) 878-3177
(207) 878-2156
Mailing address
195 FORE RIVER PARKWAY, SUITE 420, PORTLAND, ME 04102
(207) 878-3177
(207) 878-2156
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
1178
ME
208600000X
Surgery Physician
—
ME
Other
Enumeration date
05/04/2006
Last updated
01/23/2008
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