Organization
BREWER HEALTH CENTER PA
Active
Organization
BREWER HEALTH CENTER PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GARY M ROSS D.O. (OWNER)
(207) 989-5588
Entity
Organization
Contact information
Practice address
401 S MAIN ST, BREWER, ME 04412-2322
(207) 989-5588
(207) 989-1599
Mailing address
401 S MAIN ST, BREWER, ME 04412-2322
(207) 989-5588
(207) 989-1599
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
1127
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1639130099
NPI
ME
Enumeration date
10/09/2007
Last updated
11/26/2014
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