| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1215332606 | FORE RIVER UROLOGY LLC | 21 DONALD B DEAN DR | SOUTH PORTLAND | ME | 041063252 | |||
| 1942614979 | CALABRESE | MARC | 21 DONALD B DEAN DR STE 1 | SOUTH PORTLAND | ME | 041063234 | ||
| 1992186407 | URSINY | MICHAL | 21 DONALD B DEAN DR STE 1 | SOUTH PORTLAND | ME | 041063234 |