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Organization

FERNOW MEDICAL ASSOCIATES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. LESLEY MONTGOMERY FERNOW MD (OWNER/PHYSICIAN)
(207) 564-7131
Entity
Organization

Contact information

Practice address
1048 SOUTH ST, DOVER FOXCROFT, ME 04426-1232
(207) 564-7131
(207) 564-7209
Mailing address
1048 SOUTH ST, DOVER FOXCROFT, ME 04426-1232
(207) 564-7131
(207) 564-7209

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
9847
ME

Other

Enumeration date
08/29/2006
Last updated
08/15/2007
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