Organization
MAINE DERMATOLOGY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARMAINE JENSEN D.O. (OWNER/ DOCTOR)
(207) 230-1007
Entity
Organization
Contact information
Practice address
2239 ATLANTIC HWY, LINCOLNVILLE, ME 04849-5310
(207) 230-1007
(207) 230-1008
Mailing address
2239 ATLANTIC HWY, LINCOLNVILLE, ME 04849-5310
(207) 230-1007
(207) 230-1008
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
1822
ME
Other
Enumeration date
10/25/2006
Last updated
06/03/2008
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