Oceanside Medical,pa

NPI 1073676425 - Legal Medicine - 173000000X

NPI Details
NPI 1073676425
Enumeration Date 12/18/2006
Last Updated 12/30/2008
Entity Type Healthcare Provider
Active Over 11 years ago
Authorized Information
Name ROBERT DANIEL ROBERT
Position PRESIDENT
Phone (207) 338-9968
Fax (207) 338-0332
Practice Location
116 NORTHPORT AVE
SUITE 212
BELFAST ME, 04915-6095, US
Phone (207) 338-9968
Fax (207) 338-0332
Business Location
116 NORTHPORT AVE
SUITE 212
BELFAST ME, 04915-6095, US
Phone (207) 338-9968
Fax (207) 338-0332
Toxanomy
Taxonomy Code 173000000X
License State Maine
License Number 013771
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According to our database, Oceanside Medical,pa NPI is 1073676425, taxonomy code is 173000000X and license number is 013771, license state is located at Maine. Oceanside Medical,pa physically located at 116 Northport Ave, Belfast ME, 04915-6095. NPI Number 1033115704 has the healthcare provider type.

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1073676425 NPI number is provided on an as is basis without warranty of any kind. 1073676425 is maintained by the National Plan & Provider Enumeration System. The contents of Oceanside Medical,pa are for informational purposes only.