Individual
ROSS HANLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
655 MAIN ST, SACO, ME 04072-1543
(207) 294-5600
Mailing address
14 UNION ST, WISCASSET, ME 04578-4001
(207) 350-1340
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA1833
ME
Other
Enumeration date
07/11/2018
Last updated
07/11/2018
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