Second Mountain Internal Medicine P.C.
Internal Medicine in Hebron, ME. Organization (NPI-2).
NPI number1629969332
StatusActive
Last updated in NPPESJul 30, 2025
Details
- NPI
- 1629969332
- Entity type
- Organization (NPI-2)
- Legal business name
- Second Mountain Internal Medicine P.C.
- Organization subpart
- No
- Enumeration date
- Jul 11, 2025
- Certification date
- Jul 30, 2025
- Last updated
- Jul 30, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | – | – | Yes |
Practice location
758 Buckfield RdHebron, ME 04238-3261
Phone 860-305-3438
Mailing address
758 Buckfield RdHebron, ME 04238-3261
Authorized official
John Charles Matulis
Physician Owner
8603053438
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