Organization
MAINE MOBILE MRI ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PETER GIUSTRA M.D. (MANAGING PARTNER)
(207) 784-2554
Entity
Organization
Contact information
Practice address
35 MEDICAL CENTER PKWY, AUGUSTA, ME 04330-8160
(207) 626-1000
Mailing address
PO BOX 1849, LEWISTON, ME 04241-1849
(207) 784-2554
(207) 777-5363
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
470001141
RAILROAD MEDICARE ID
ME
Enumeration date
12/22/2005
Last updated
03/24/2015
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