Organization Name: | TWIN CITY FAMILY MEDICINE PA |
NPI Number: | 1750472296 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ADAM P LAUER (PRESIDENT / OWNER) |
Mailing Address: | 92 South Main Street Brewer |
State: | ME US |
Postal Code: | 044122114 |
Phone Number: | 2079892326 |
Fax Number: | 2079922754 |
NPI Enumeration Date: | 09/28/2006 |
NPI Last Update Date: | 08/13/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 204D00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Neuromusculoskeletal Medicine & OMM |
Taxonomy Specialization: | |
Taxonomy Definition: |