Organization
WARREN FAMILY MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY WALL D.O. (OWNER)
(207) 273-6400
Entity
Organization
Contact information
Practice address
191 CAMDEN RD, WARREN, ME 04864-4207
(207) 273-6400
(207) 273-6402
Mailing address
191 CAMDEN RD, WARREN, ME 04864-4207
(207) 273-6400
(207) 273-6402
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
1877
ME
Other
Enumeration date
06/22/2006
Last updated
08/22/2020
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