Provider First Line Business Practice Location Address:
100 CAMPUS DRIVE
Provider Second Line Business Practice Location Address:
MAINE MEDICAL CENTER
Provider Business Practice Location Address City Name:
SCARBOROUH
Provider Business Practice Location Address State Name:
ME
Provider Business Practice Location Address Postal Code:
04074
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
207-885-8524
Provider Business Practice Location Address Fax Number:
207-885-8595
Provider Enumeration Date:
04/18/2008