NPI 1013383777

Gorham Crossing Primary Care

Organisation Primary Care Clinic/Center Gorham, ME

Practice location

Address: 19 S Gorham Xing, Gorham, ME 04038-2690
Phone: (207) 839-9101
Fax: (207) 839-9201

Authorised official

Name: Michael Duffy
Title: Medical Director
Phone: (207) 839-9101

Registered specialties

Primary Care Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261QP2300X Licence CNP151056 (ME)

Other Clinic/Center providers in Maine →

Registry record

NPI: 1013383777
Entity type: Organization
NPI issued: 18 Aug 2015
Record last updated: 18 Aug 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.