| Sebago Medical Group Inc | |
|
110 Tandberg Trl Ste G Windham ME 04062-5206 | |
| (207) 595-8756 | |
| Not Available |
| Full Name | Sebago Medical Group Inc |
|---|---|
| Speciality | Clinic/center |
| Location | 110 Tandberg Trl Ste G, Windham, Maine |
| Authorized Official Name and Position | Stephanie Elena Chin (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 2075958756 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sebago Medical Group Inc 31 Punkin Valley Dr Bridgton ME 04009-3425 Ph: (207) 595-8756 | Sebago Medical Group Inc 110 Tandberg Trl Ste G Windham ME 04062-5206 Ph: (207) 595-8756 |
| NPI Number | 1811632680 |
|---|---|
| Provider Enumeration Date | 05/04/2022 |
| Last Update Date | 05/04/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811632680 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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