Rsu/sad#60

NPI 1164720827 - Clinic/Center - 261QS1000X

NPI Details
NPI 1164720827
Enumeration Date 03/04/2011
Last Updated 02/28/2013
Entity Type Healthcare Provider
Active Over 5 years ago
Authorized Information
Name SUSAN SUSAN
Position ASSISTANT SUPERINTENDANT
Phone (207) 676-2175
Fax (207) 676-2204
Practice Location
388 SOMERSWORTH RD
NORTH BERWICK ME, 03906-6559, US
Phone (207) 676-2175
Fax (207) 676-2204
Business Location
388 SOMERSWORTH RD
NORTH BERWICK ME, 03906-6559, US
Phone (207) 676-2175
Fax (207) 676-2204
Toxanomy
Taxonomy Code 261QS1000X
License State Maine
License Number CNP81654
Remove 1164720827 NPI Number
 

According to our database, Rsu/sad#60 NPI is 1164720827, taxonomy code is 261QS1000X and license number is CNP81654, license state is located at Maine. Rsu/sad#60 physically located at 388 Somersworth Rd, North Berwick ME, 03906-6559. NPI Number 1033115704 has the healthcare provider type.

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1164720827 NPI number is provided on an as is basis without warranty of any kind. 1164720827 is maintained by the National Plan & Provider Enumeration System. The contents of Rsu/sad#60 are for informational purposes only.