NPI 1487691879
Southern Maine Physical Medicine and Rehabilitation, PLLC
Practice location
- Address
- 335 Brighton Ave, Portland, ME 04102-2362
- Phone
- (207) 775-4000
- Mailing address
- PO Box 178, Gorham, ME 04038-0178
Authorised official
- Name
- Elwood I Fox
- Title
- President/Physician
- Phone
- (207) 893-2992
Registered specialties
Sports Medicine (Neuromusculoskeletal Medicine) Physician
Primary
Registry record
- NPI
- 1487691879
- Entity type
- Organization
- NPI issued
- 2 Jun 2006
- Record last updated
- 21 Jul 2008
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.