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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

BLACK DOG MEDICAL PA

Active Organization

BLACK DOG MEDICAL PA is a Internal Medicine organization located in LAMOINE, Maine. NPI 1154784668 is currently active in the NPPES registry. Verify at CMS.

Internal Medicine · LAMOINE, ME

Registration Details

NPI Number
1154784668
Provider Type
Organization
NPI Issued
Apr 1, 2016 (10.399371620685 yrs)
Last Updated
Apr 1, 2016
License
MD14569 (ME)

Practice Information

Address
11 MADISON AVENUE
LAMOINE, ME, 04605
Browse ME providers · Browse ZIP 04605
Phone
2072001464
Fax
2078058421
Primary Specialty
Internal Medicine
207R00000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.