Provider First Line Business Practice Location Address:
NORTHERN LIGHT MERCY HOSPITAL
Provider Second Line Business Practice Location Address:
175 FORE RIVER PARKWAY
Provider Business Practice Location Address City Name:
PORTLAND
Provider Business Practice Location Address State Name:
ME
Provider Business Practice Location Address Postal Code:
04102-1543
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
207-857-8040
Provider Business Practice Location Address Fax Number:
207-767-7401
Provider Enumeration Date:
03/15/2006