Evernorth Care Providers - Delaware PA

NPI #1023840386 in Bangor, Maine

Provider Information

NPI Number
1023840386
Entity Type
Organization
Organization Name
Evernorth Care Providers - Delaware PA
Primary Specialty
General Practice
Enumeration Date
Aug 15, 2024
Last Updated
Aug 15, 2024

Practice Location

Address
700 MAIN ST STE 3
City
Bangor
State
Maine
ZIP Code
04401-6800
Phone
(773) 292-4800

Authorized Official

Name
GRACE BLUE
Title
CREDENTIALING SR. MANAGER
Phone
(773) 292-4800

Specialties & Taxonomy Codes

Specialty
General Practice

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