Organization
LESLIE R. GASS, D.O., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LESLIE R. GASS D.O. (PHYSICIAN)
(207) 773-7330
Entity
Organization
Contact information
Practice address
535 OCEAN AVE, PORTLAND, ME 04103-4973
(207) 773-7330
(207) 773-7340
Mailing address
535 OCEAN AVE, PORTLAND, ME 04103-4973
(207) 773-7330
(207) 773-7340
Taxonomy
Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
Primary
1804
ME
Other
Enumeration date
03/13/2008
Last updated
04/24/2012
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