NPI 1760816276
Avita Stroudwater, LLC
Practice location
- Address
- 320 Spring Street, Westbrook, ME 04092
- Phone
- (207) 857-9007
- Fax
- (207) 857-9017
- Mailing address
- 71 3rd Ave, Burlington, MA 01803-4430
Authorised official
- Name
- Shawn Bertram
- Title
- Vice President of Operations
- Phone
- (781) 272-2424
Registered specialties
Alzheimer Center (Dementia Center)
Primary
Registry record
- NPI
- 1760816276
- Entity type
- Organization
- NPI issued
- 3 Sep 2013
- Record last updated
- 3 Sep 2013
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.