Organization
GORHAM PRIMARY CARE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDREW STUART NICHOLSON M.D. (DIRECT/INDIRECT OWNER)
(207) 839-5551
Entity
Organization
Contact information
Practice address
130 MAIN ST, GORHAM, ME 04038-1319
(207) 839-5551
(207) 839-5573
Mailing address
130 MAIN ST, GORHAM, ME 04038-1319
(207) 839-5551
(207) 839-5573
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
015480
ME
Other
Enumeration date
05/21/2008
Last updated
07/15/2008
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