Organization
SOUTHERN MAINE INTEGRATIVE HEALTH CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICK MULCAHY D.O. (OWNER/DIRECTOR)
(207) 985-3079
Entity
Organization
Contact information
Practice address
69 YORK ST, SUITE 4, KENNEBUNK, ME 04043-7153
(207) 985-3079
Mailing address
69 YORK ST STE 4, KENNEBUNK, ME 04043-7186
(207) 985-3079
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ME2352
MEDICARE
ME
Enumeration date
10/31/2006
Last updated
10/24/2007
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