Organization
GREGORY D'AUGUSTINE, MD, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY D'AUGUSTINE MD (PRESIDENT/ OWNER)
(207) 784-2903
Entity
Organization
Contact information
Practice address
10 HIGH STREET, SUITE 202, LEWISTON, ME 04240-7657
(207) 784-2903
Mailing address
PO BOX 1849, LEWISTON, ME 04241-1849
(207) 784-2554
(207) 777-5363
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
114000000
—
ME
Enumeration date
09/08/2009
Last updated
09/08/2009
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