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Contact Information

MAURICE R GARDNER DPM PA
681 SABATTUS ST
LEWISTON, ME04240-3829
 Phone: 207-784-2042
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for MAURICE R GARDNER DPM PA

NPI # 1902954522
LBN Legal business name MAURICE R GARDNER DPM PA
Authorized official MAURICE GARDNER - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 01/08/2007
Last updated 06/23/2008 - About 18 years ago
Identifiers
ME Medicaid 121590000
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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