Organization
CENTRAL MAINE ORTHOPAEDICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANICE FOURNIER (CHIEF FINANCIAL AND ADMIN. OFFICER)
(207) 344-2230
Entity
Organization
Contact information
Practice address
690 MINOT AVE, AUBURN, ME 04210-3922
(207) 783-1328
(207) 786-4332
Mailing address
690 MINOT AVE, AUBURN, ME 04210-3922
(207) 783-1328
(207) 786-4332
Taxonomy
Speciality
Code
Description
License number
State
204R00000X
Electrodiagnostic Medicine Physician
—
ME
207X00000X
Orthopaedic Surgery Physician
Primary
—
ME
208VP0014X
Interventional Pain Medicine Physician
—
ME
213E00000X
Podiatrist
—
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0378600001
DMERC PTAN
—
01
—
MM0716
MEDICARE PTAN
ME
Enumeration date
11/05/2013
Last updated
11/05/2013
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