Organization
JONATHAN SHILL MD PH.D, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JONATHAN SHILL MD (OWNER/PROVIDER)
(207) 502-7074
Entity
Organization
Contact information
Practice address
26 BARNARD LN, KENNEBUNK, ME 04043-6714
(207) 502-7074
(207) 502-7079
Mailing address
26 BARNARD LN, KENNEBUNK, ME 04043-6714
(207) 502-7074
(207) 502-7079
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
7907
ME
Other
Enumeration date
08/23/2013
Last updated
08/29/2013
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