Black Dog Medical Pa Valid NPI
Organization · Internal Medicine Physician · Lamoine, ME
- NPI
- 1154784668
- Type
- Organization (Type 2)
- Primary specialty
- Internal Medicine Physician (Internal Medicine)
- Specialty group
- Allopathic & Osteopathic Physicians
- Taxonomy code
- 207R00000X
- License number
- MD14569 (ME)
- Enumerated
- 2016-04-01
- Last updated
- 2016-04-01
Practice location
11 Madison Avenue
Lamoine, ME 04605
(207) 200-1464