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Organization

PAI PARTICIPANT 7 PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LAURA YOUNG (MANAGER)
(207) 227-4552
Entity
Organization

Contact information

Practice address
367 US ROUTE 1 STE 3S, FALMOUTH, ME 04105-1352
(207) 962-1200
(207) 888-3733
Mailing address
367 US ROUTE 1 STE 3S, FALMOUTH, ME 04105-1352
(207) 518-8869

Taxonomy

Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary

Other

Enumeration date
06/11/2019
Last updated
04/09/2026
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