| Mdfpr | |
|
15 E Chestnut St Augusta ME 04330-5736 | |
| (207) 626-1889 | |
| Not Available |
| Full Name | Mdfpr |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 15 E Chestnut St, Augusta, Maine |
| Authorized Official Name and Position | Kirill V Berejnoi (GERIATRICIAN) |
| Authorized Official Contact | 4153140144 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mdfpr 32 Quarry Rd Apt 33 Waterville ME 04901-4970 Ph: (415) 314-0144 | Mdfpr 15 E Chestnut St Augusta ME 04330-5736 Ph: (207) 626-1889 |
| NPI Number | 1467608836 |
|---|---|
| Provider Enumeration Date | 08/17/2008 |
| Last Update Date | 08/17/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467608836 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | A102844 (California) | Primary |
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