Provider First Line Business Practice Location Address:
NORTHERN LIGHT MERCY HOSPITAL
Provider Second Line Business Practice Location Address:
195 FORE RIVER PARKWAY, SUITE 360
Provider Business Practice Location Address City Name:
PORTLAND
Provider Business Practice Location Address State Name:
ME
Provider Business Practice Location Address Postal Code:
04102
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
207-553-6868
Provider Business Practice Location Address Fax Number:
207-904-0917
Provider Enumeration Date:
08/18/2023