Down East Orthopedic Assoc PA

NPI #1194763110 in Bangor, Maine

Provider Information

NPI Number: 1194763110
Entity Type: Organization
Organization Name: Down East Orthopedic Assoc PA
Primary Specialty: Specialist
Enumeration Date: Jun 3, 2006
Last Updated: Jul 16, 2021

Practice Location

Address: 78 RIDGEWOOD DR
City: Bangor
State: Maine
ZIP Code: 04401-2652
Phone: (207) 947-8381

Authorized Official

Name: GERALD MERRILL
Title: ADMINISTRATOR
Phone: (207) 307-8954

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X
Occupational Therapist	225X00000X
Specialist	174400000X	Primary

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