Organization
CHARLES A PARENT DO PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES A PARENT DO (PROVIDER/OWNER)
(207) 251-1079
Entity
Organization
Contact information
Practice address
24 PORTLAND RD, KENNEBUNK, ME 04043-6747
(207) 251-1079
(207) 967-9151
Mailing address
24 PORTLAND RD, KENNEBUNK, ME 04043-6747
(207) 251-1079
(207) 967-9151
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
1565
ME
Other
Enumeration date
04/25/2011
Last updated
04/25/2011
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