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Organization

RADIOLOGY SPECIALISTS OF MAINE, PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JOAN SUTCLIFFE M.D. (PRESIDENT OF GROUP)
(207) 784-2554
Entity
Organization

Contact information

Practice address
329 MAINE ST, BRUNSWICK, ME 04011-3310
(207) 373-2252
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
05
163500000
ME
Enumeration date
06/10/2005
Last updated
11/12/2014
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