| Mid Coast Medical Group | |
|
123 Medical Center Dr Brunswick ME 04011-2652 | |
| (207) 729-0181 | |
| Not Available |
| Full Name | Mid Coast Medical Group |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 123 Medical Center Dr, Brunswick, Maine |
| Authorized Official Name and Position | Lugene Inzana (CFO & MH ASSOCIATE CFO) |
| Authorized Official Contact | 2076622654 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mid Coast Medical Group 123 Medical Center Dr Brunswick ME 04011-2652 Ph: (207) 729-0181 | Mid Coast Medical Group 123 Medical Center Dr Brunswick ME 04011-2652 Ph: (207) 729-0181 |
| NPI Number | 1902422561 |
|---|---|
| Provider Enumeration Date | 06/19/2020 |
| Last Update Date | 12/19/2022 |
| Certification Date | 12/19/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902422561 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | () | Primary |
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