Individual
MINA ASSADOLLAHZADEH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
15 MOLLISON WAY, LEWISTON, ME 04240-5805
(207) 777-4440
(207) 783-6660
Mailing address
PO BOX 1638, ALBANY, NY 12201-1638
(207) 777-4111
(207) 783-6660
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DO2756
ME
Other
Enumeration date
06/16/2014
Last updated
10/26/2017
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