Type 2 organization · NPI 1003248436
FORE RIVER UROLOGY LLC
208800000X · SOUTH PORTLAND, ME
Why this profile is appearing now
Observed change signals
No current public change signal is attached to this profile.
Reported classification
Taxonomies
| Code | Description | Source flag |
|---|---|---|
| 208800000X | 208800000X | Primary |
| 2088F0040X | 2088F0040X | Additional |
| 2088P0231X | 2088P0231X | Additional |
Taxonomy reporting does not establish licensure, board certification, expertise, or quality.
Longitudinal record
Observed change timeline
- 0 recorded field change s