Eyecare Medical Group

NPI 1376599381 - Clinic/Center - 261QA1903X

NPI Details
NPI 1376599381
Enumeration Date 05/25/2006
Last Updated 06/03/2010
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name CLEMENT M CLEMENT
Position CHIEF EXECUTIVE OFFICES
Phone (207) 828-2020
Fax (207) 773-7034
Practice Location
53 SEWALL STREET
PORTLAND ME, 04102-2625, US
Phone (207) 828-2020
Fax (207) 773-7034
Business Location
53 SEWALL STREET
PORTLAND ME, 04102-2625, US
Phone (207) 828-2020
Fax (207) 773-7034
Toxanomy
Taxonomy Code 261QA1903X
License State Maine
License Number 36395
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According to our database, Eyecare Medical Group NPI is 1376599381, taxonomy code is 261QA1903X and license number is 36395, license state is located at Maine. Eyecare Medical Group physically located at 53 Sewall Street, Portland ME, 04102-2625. NPI Number 1033115704 has the healthcare provider type.

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1376599381 NPI number is provided on an as is basis without warranty of any kind. 1376599381 is maintained by the National Plan & Provider Enumeration System. The contents of Eyecare Medical Group are for informational purposes only.