Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QA0401X | Family Doctor - Addiction Medicine | 1128 | ME |
NPI | 1063405041 |
---|---|
Provider Name | Dr. Joseph Py |
First Address | Amesbury, MA 01913-2932 |
Second Address | South Portland, ME 04106-1704 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/08/2005 |
Last Update Date | 08/07/2007 |