Unknown Individual – Specialist, NPI 1366434540
Specialist
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
417, State Street, Bangor, Penobscot County, Maine, 04401, United States
SUITE 230
BANGOR, ME 044016630
Phone: (207) 942-9324
Fax: (207) 942-0710
Mailing address matches the actual address.
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)
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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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