Organization
MAINE INTERVENTIONAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN J CHOMYN M.D. (PRESIDENT)
(207) 784-2554
Entity
Organization
Contact information
Practice address
123 MEDICAL CENTER DR, BRUNSWICK, ME 04011-2652
(207) 784-2554
(207) 777-1439
Mailing address
PO BOX 1849, LEWISTON, ME 04241-1849
(207) 784-2554
(207) 777-1439
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
Primary
—
—
Other
Enumeration date
08/10/2006
Last updated
08/22/2020
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