HomeNPI Verification

NPI Verification

National Provider Identifier: 1154784668

Black Dog Medical PA

Organization

Primary Specialty

Internal Medicine

Code: 207R00000X

Practice Address

11 MADISON AVENUE

LAMOINE, ME 04605

Phone: 207-200-1464

NPI Enumeration Date

April 1, 2016

NPI Number

1154784668

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