NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1144642661 | BREEN | BRIAN | E. |   | 78 ATLANTIC PL | SOUTH PORTLAND | ME | 041062316 |
1356691141 | KOOPERMAN | KATE | E |   | 78 ATLANTIC PL | SOUTH PORTLAND | ME | 041062316 |
1679834477 | NASON | CAREY |   |   | 78 ATLANTIC PL | SOUTH PORTLAND | ME | 041062316 |
1447345715 | YOUNG | JAMES | RICHARD |   | 78 ATLANTIC PL | SOUTH PORTLAND | ME | 041062316 |