PENOBSCOT RESPIRATORY – Pulmonary Disease Physician, NPI 1710925201

PENOBSCOT RESPIRATORY is a healthcare provider. based in Bangor, Maine. specializing in Pulmonary Disease Physician. The NPI Number for PENOBSCOT RESPIRATORY is 1710925201

Main info

Organization
Name
PENOBSCOT RESPIRATORY
NPI
1710925201
Phone
(207) 942-6096
Address
417 STATE ST
Authorized Official
THOMAS G FREY PRESIDENT MD
Enumeration Date
4 June 2006
Last Update Date
25 November 2014
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness75
Years active:20State licenses:0Digital endpointsOther names

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Provider Addresses for PENOBSCOT RESPIRATORY

  • 417, State Street, Bangor, Penobscot County, Maine, 04401, United States

    STE 400

    BANGOR, ME 044016630

    Phone: (207) 942-6096

    Fax: (207) 973-8857

    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)

No Open Payments data available for this provider.

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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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Reviews

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Frequently asked questions

What unique ID ties claims to PENOBSCOT RESPIRATORY?
NPI 1710925201 is assigned to PENOBSCOT RESPIRATORY under the national enumeration system.
Does this profile mean PENOBSCOT RESPIRATORY is currently active?
Yes — PENOBSCOT RESPIRATORY appears active in the national provider directory.
Can you summarize PENOBSCOT RESPIRATORY's specialty in plain language?
Clinically, the directory lists PENOBSCOT RESPIRATORY with Pulmonary Disease Physician. Clinical services aligned with this taxonomy classification.
What location metadata exists for PENOBSCOT RESPIRATORY?
The page summarizes Bangor, Maine for PENOBSCOT RESPIRATORY; expand the address list for detail.
What if Bangor, Maine seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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