Organization
MAINE LASER SKIN CARE, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN EDMUND BURKE M.D. (PRESIDENT)
(207) 649-2414
Entity
Organization
Contact information
Practice address
12 SHUMAN AVE STE 7, AUGUSTA, ME 04330-6020
(207) 873-2158
(207) 873-1624
Mailing address
12 SHUMAN AVE STE 7, AUGUSTA, ME 04330-6020
(207) 873-2158
(207) 873-1624
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD10930
ME
Other
Enumeration date
11/05/2013
Last updated
11/05/2013
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