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Organization

NORTHERN NEW ENGLAND PRIMARY CARE

Active
Other names
Manchester Family Health
Organization subpart
No

Provider details

NPI number
Authorized official
DOUGLAS JORGENSEN DO (MANAGING MEMBER)
(207) 622-4500
Entity
Organization

Contact information

Practice address
23 BOWDOIN ST, MANCHESTER, ME 04351
(207) 629-5522
(207) 512-8793
Mailing address
23 BOWDOIN ST, MANCHESTER, ME 04351
(207) 629-5522
(207) 512-8793

Taxonomy

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

Other

Enumeration date
01/13/2011
Last updated
09/10/2013
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