Randal Joseph Thivierge

NPI 1124327564 - Durable Medical Equipment & Medical Supplies - 332BC3200X

NPI Details
NPI 1124327564
Enumeration Date 03/24/2011
Last Updated 11/01/2011
Entity Type Healthcare Provider
Active Over 5 years ago
Authorized Information
Name JODY L JODY
Position OPERATIONS MANAGER
Phone (207) 236-3100
Fax (207) 236-8380
Practice Location
625 ROCKLAND ST
ROCKPORT ME, 04856-5320, US
Phone (207) 236-3100
Fax (207) 236-8380
Business Location
625 ROCKLAND ST
ROCKPORT ME, 04856-5320, US
Phone (207) 236-3100
Fax (207) 236-8380
Toxanomy
Taxonomy Code 332BC3200X
License State Maine
License Number 3037
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According to our database, Randal Joseph Thivierge NPI is 1124327564, taxonomy code is 332BC3200X and license number is 3037, license state is located at Maine. Randal Joseph Thivierge physically located at 625 Rockland St, Rockport ME, 04856-5320. NPI Number 1033115704 has the healthcare provider type.

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1124327564 NPI number is provided on an as is basis without warranty of any kind. 1124327564 is maintained by the National Plan & Provider Enumeration System. The contents of Randal Joseph Thivierge are for informational purposes only.