Penbay Neurology, P.A.
Psychiatry & Neurology, Neurology in Rockport, ME. Organization (NPI-2).
NPI number1386621340
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1386621340
- Entity type
- Organization (NPI-2)
- Legal business name
- Penbay Neurology, P.A.
- Organization subpart
- No
- Enumeration date
- Dec 29, 2005
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology, Neurology | 011860 | ME | Yes |
Practice location
4 Glen Cove DrSuite 108
Rockport, ME 04856-4235
Phone 207-596-0031
Mailing address
Po Box 1849Lewiston, ME 04241-1849
Phone 207-784-2554 · Fax 207-777-5363
Authorized official
Robert Stein
President
2075960031
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