Organization
RESTORATION MEDICINE INC
Active
Other names
Restoration Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS C HUNTER III (CEO)
(781) 346-4461
Entity
Organization
Contact information
Practice address
100 FORE ST, PORTLAND, ME 04101-4879
(781) 346-4461
Mailing address
100 FORE ST, PORTLAND, ME 04101-4879
(781) 346-4461
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
—
163WC0400X
Case Management Registered Nurse
—
—
208800000X
Urology Physician
—
—
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
Other
Enumeration date
05/12/2025
Last updated
05/12/2025
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