Organization
SEACOAST ULTRASOUND IMAGING, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES DUNNER (PRESIDENT)
(207) 784-2554
Entity
Organization
Contact information
Practice address
756 COMMERCIAL ST, ROCKPORT, ME 04856-4201
(207) 593-5400
Mailing address
PO BOX 1849, LEWISTON, ME 04241-1849
(207) 784-2554
(207) 777-5363
Taxonomy
Speciality
Code
Description
License number
State
2471S1302X
Sonography Radiologic Technologist
Primary
6270
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
136270000
—
ME
Enumeration date
12/21/2005
Last updated
03/31/2009
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