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Physicians Family Medicine

Provider NPI: 1508092305

Provider Information:
Gender: M
Not Sole Proprietor

Practice Location:
Tel: 207-768-4753  Fax: 207-472-3609

Business Mailing Address:
Tel: 207-768-4753  Fax: 207-472-3609

NPI Information:
NPI: 1508092305
Entity Type: Individual


PrimaryCodeCategory/DescriptionStateLicense Number
Family Medicine
Family Medicine
Family Medicine
Family Medicine

Other Provider Identifiers:


American Medical Association 2012 taxonomy code information

Code: 207Q00000X





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