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Organization

PORTLAND OSTEOPATHIC, PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
EDEN J ZOLL D.O. (OWNER)
(207) 221-2355
Entity
Organization

Contact information

Practice address
208 VAUGHAN ST, PORTLAND, ME 04102-3204
(207) 221-2355
(207) 221-2356
Mailing address
PO BOX 4022, PORTLAND, ME 04101-0222
(207) 221-2355
(207) 221-2356

Taxonomy

Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
Primary
1715
ME

Other

Enumeration date
05/20/2006
Last updated
08/22/2020
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