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
Authorized Official
- Name
- GRACE BLUE
- Title
- CREDENTIALING SR. MANAGER
- Phone
- (773) 292-4800
Specialties & Taxonomy Codes
| Specialty |
|---|
| General Practice |
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| John Marley Dickens, MD | |
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Organizations
| Provider Name | |
|---|---|
| Penobscot Community Health Center | |
| Careconnectmd Maine PC | |
| Penobscot Community Health Center |
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