Whalio Doctors

NPI 1124005590

Northeast Retina Associates, PA

Organisation Ophthalmology Physician Sanford, ME

Practice location

Address
272 Cottage St, Sanford, ME 04073-1815
Phone
(207) 324-3380
Fax
(207) 636-5023

Authorised official

Name
Jennifer Brearey
Title
Ophthalmic Manager
Phone
(207) 324-3380

Registered specialties (2)

Ophthalmology Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207W00000X Licence 013866 (ME)
Ophthalmology Physician
Allopathic & Osteopathic Physicians Taxonomy 207W00000X Licence 9375 (NH)

Registry record

NPI
1124005590
Entity type
Organization
NPI issued
28 Dec 2005
Record last updated
22 Aug 2020

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.