Port City Neurology

NPI 1376533570 - Psychiatry & Neurology - 2084N0400X

NPI Details
NPI 1376533570
Enumeration Date 10/27/2005
Last Updated 09/10/2008
Entity Type Healthcare Provider
Active Over 11 years ago
Authorized Information
Name EDWARD EDWARD
Position PRESIDENT
Phone (207) 885-1400
Fax
Practice Location
7 PORTLAND FARMS RD # 2
SCARBOROUGH ME, 04074-8305, US
Phone (207) 885-1400
Fax
Business Location
7 PORTLAND FARMS RD # 2
SCARBOROUGH ME, 04074-8305, US
Phone (207) 885-1400
Fax
Toxanomy
Taxonomy Code 2084N0400X
License State Maine
License Number 1724
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According to our database, Port City Neurology NPI is 1376533570, taxonomy code is 2084N0400X and license number is 1724, license state is located at Maine. Port City Neurology physically located at 7 Portland Farms Rd # 2, Scarborough ME, 04074-8305. NPI Number 1033115704 has the healthcare provider type.

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1376533570 NPI number is provided on an as is basis without warranty of any kind. 1376533570 is maintained by the National Plan & Provider Enumeration System. The contents of Port City Neurology are for informational purposes only.