| New England Telemedicine | |
|
98 Route 236 Suite 2 Kittery ME 03904-5527 | |
| (855) 275-0464 | |
| (207) 703-2780 |
| Full Name | New England Telemedicine |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 98 Route 236, Kittery, Maine |
| Authorized Official Name and Position | Trustin Roy Ennacheril (PRESIDENT/CEO) |
| Authorized Official Contact | 8552750464 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| New England Telemedicine 98 Route 236 Suite #2 Kittery ME 03904-5527 Ph: (855) 275-0464 | New England Telemedicine 98 Route 236 Suite 2 Kittery ME 03904-5527 Ph: (855) 275-0464 |
| NPI Number | 1053752584 |
|---|---|
| Provider Enumeration Date | 07/12/2013 |
| Last Update Date | 10/18/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053752584 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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