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NPI Verification

National Provider Identifier: 1003248436

Fore River Urology LLC

Organization

Primary Specialty

Urology

Code: 208800000X

All Specialties (3)

Urology

Code: 208800000X

Primary

Urology, Urogynecology and Reconstructive Pelvic Surgery

Code: 2088F0040X

Urology, Pediatric Urology

Code: 2088P0231X

Practice Address

21 DONALD B DEAN DR

SUITE 1

SOUTH PORTLAND, ME 041063252

Phone: 207-776-2411

NPI Enumeration Date

August 8, 2013

NPI Number

1003248436

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry