Organization
BISHOP MEDICAL GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN BURO (MANAGER)
(207) 910-6580
Entity
Organization
Contact information
Practice address
1250 FOREST AVE STE 201, PORTLAND, ME 04103-6403
(207) 671-3047
Mailing address
1250 FOREST AVE STE 201, PORTLAND, ME 04103-6403
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
Primary
—
—
Other
Enumeration date
11/09/2020
Last updated
06/03/2024
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