Unknown Individual – Hematology & Oncology Physician, NPI 1124059449
Hematology & Oncology Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
Eastern Maine Medical Center, 489, State Street, Bangor, Penobscot County, Maine, 04401, United States
BANGOR, ME 044016616
Phone: (207) 973-7000
Fax: (207) 973-5042
Type: Location
Northern Light Health Home Office, 43, Whiting Hill Road, Brewer, Penobscot County, Maine, 04412, United States
STE 300
BREWER, ME 044121005
Phone: (207) 973-5035
Fax: (207) 973-5042
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 04401)
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