Integrated Medical Associates, LLC
Internal Medicine in Waterville, ME. Organization (NPI-2).
NPI number1639109366
StatusActive
Last updated in NPPESFeb 6, 2014
Details
- NPI
- 1639109366
- Entity type
- Organization (NPI-2)
- Legal business name
- Integrated Medical Associates, LLC
- Organization subpart
- No
- Enumeration date
- Jul 5, 2006
- Last updated
- Feb 6, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | – | – | Yes |
| 207RG0100X | Internal Medicine, Gastroenterology | – | – |
Practice location
40 Airport RdSuite 2
Waterville, ME 04901-4524
Phone 207-680-2070 · Fax 207-680-2074
Mailing address
40 Airport RdSuite 2
Waterville, ME 04901-4524
Phone 207-680-2070 · Fax 207-680-2074
Authorized official
John Hawkins Irwin
Owner
2076802070
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