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Organization

MAINELY EYES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
PHILIP GOLDTHWAIT O.D. (PRESIDENT)
(207) 945-3937
Entity
Organization

Contact information

Practice address
663 STILLWATER AVE, BANGOR, ME 04401-3645
(207) 945-3937
(207) 945-3920
Mailing address
663 STILLWATER AVE, BANGOR, ME 04401-3645
(207) 945-3937
(207) 945-3920

Taxonomy

Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary

Other

Enumeration date
12/07/2012
Last updated
12/07/2012
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