Organization
MID-COAST SPINE & SPORT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRADY ROBERT FERGOLA DC (OWNER)
(207) 633-5500
Entity
Organization
Contact information
Practice address
18 WEST ST, BOOTHBAY HARBOR, ME 04538-1849
(207) 633-5500
Mailing address
18 WEST ST, BOOTHBAY HARBOR, ME 04538-1849
(207) 633-5500
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
04/13/2021
Last updated
05/12/2021
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