Maine Integrative Family Care
Family Medicine in South Portland, ME. Organization (NPI-2).
NPI number1447520366
StatusActive
Last updated in NPPESJan 17, 2023
Details
- NPI
- 1447520366
- Entity type
- Organization (NPI-2)
- Legal business name
- Maine Integrative Family Care
- Organization subpart
- No
- Enumeration date
- Jan 10, 2012
- Certification date
- Jan 17, 2023
- Last updated
- Jan 17, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | – | – | Yes |
| 207Q00000X | Family Medicine | 2150 | ME | |
| 208D00000X | General Practice | 2142 | ME |
Other names
- Maine Integrative Healthcare (Doing Business As)
Practice location
144 Thadeus St.Suite 1
South Portland, ME 04106
Phone 207-544-9800 · Fax 207-544-9900
Mailing address
144 Thadeus St.Suite 1
South Portland, ME 04106
Phone 207-544-9800 · Fax 207-544-9900
Authorized official
Benjamin P Hagopian
Ceo, Direct Owner
2075449800
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