Jean Henderson Tibbetts, MD

NPI #1225020480 in Bangor, Maine

Provider Information

NPI Number: 1225020480
Entity Type: Individual
Name: Jean Henderson Tibbetts, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Specialist
Credential: MD
Enumeration Date: Aug 15, 2005
Last Updated: Jan 29, 2014

Practice Location

Address: 417 STATE ST
Address 2: SUITE 230
City: Bangor
State: Maine
ZIP Code: 04401-6630
Phone: (207) 947-1291

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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