Organization
ORTHOPAEDIC SURGERY CENTER
Active
Parent organization
ORTHOPAEDIC ASSOCIATES OF PORTLAND, PA
Organization subpart
Yes
Provider details
NPI number
Legal business name
ORTHOPAEDIC ASSOCIATES OF PORTLAND, PA
Authorized official
MR. WILLIAM JOHN WIPFLER JD,MBA (CHIEF EXECUTIVE OFFICER)
(207) 828-2100
Entity
Organization
Contact information
Practice address
33 SEWALL ST, PORTLAND, ME 04102-2603
(207) 828-2100
(207) 828-2190
Mailing address
PO BOX 1260, PORTLAND, ME 04104-1260
(207) 828-2100
(207) 828-2190
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
36165
ME
Other
Enumeration date
06/06/2006
Last updated
08/26/2009
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