Northbridge Avita Of Stroudwater Ii Llc

Specialty details in registry · Westbrook, ME

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At a glance

113 Landing Rd, Westbrook, ME 04092-4094

NPPES record updated Mar 1, 2019. Public records can lag behind changes at a practice.

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Practice location

113 Landing Rd
Westbrook, ME 04092-4094
Professional details: NPI, taxonomy & registry record
NPI1063979706
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Registry details

Primary taxonomy
Specialty details in registry
Taxonomy code
311500000X
Enumeration date
Mar 1, 2019
Record updated
Mar 1, 2019
More registry details
Provider type
Organization · Type 2
Other reported name
<UNAVAIL>

Reported taxonomies and licenses

Specialty details in registry

311500000X · Primary

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

113 Landing Rd
Westbrook, ME 04092-4094
Phone
(207) 857-9007
Fax
(207) 857-9017
Mailing address
113 LANDING RD

WESTBROOK, ME 040924094
Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.

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