Organization
VASCULAR ACCESS SERVICE OF MAINE P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLES WADE HATHAWAY RN,BSN (PRESIDENT)
(207) 899-5059
Entity
Organization
Contact information
Practice address
150 LEWISTON RD, GRAY, ME 04039-7502
(207) 899-5059
Mailing address
150 LEWISTON RD, GRAY, ME 04039-7502
(207) 899-5059
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
RN38093
ME
Other
Enumeration date
01/28/2013
Last updated
01/28/2013
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