| |
242 Brunswick St, Old Town, ME 04468 | |
(207) 827-6128 | |
Not Available |
Full Name | |
---|---|
Type | Facility |
Speciality | Durable Medical Equipment & Medical Supplies |
Location | 242 Brunswick St, Old Town, Maine |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1275906893 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213E00000X | Podiatrist | (Maine) | Secondary |
332B00000X | Durable Medical Equipment & Medical Supplies | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
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Po Box 1599, Bangor, ME 04402-1599 Ph: () - | 242 Brunswick St, Old Town, ME 04468 Ph: (207) 827-6128 |