| Augusta Neurology Pa | |
|
55 Middle Street Suite 1 Augusta ME 04330 | |
| (207) 626-5445 | |
| (207) 626-5446 |
| Full Name | Augusta Neurology Pa |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 55 Middle Street, Augusta, Maine |
| Authorized Official Name and Position | Jutta M Eichelman (SOLE SHAREHOLDER PRESIDENT TREASURE) |
| Authorized Official Contact | 2076265445 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Augusta Neurology Pa 55 Middle Street Suite 1 Augusta ME 04330 Ph: (207) 626-5445 | Augusta Neurology Pa 55 Middle Street Suite 1 Augusta ME 04330 Ph: (207) 626-5445 |
| NPI Number | 1053419184 |
|---|---|
| Provider Enumeration Date | 09/20/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053419184 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | 013795 (Maine) | Primary |
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