Robert W Haeberlein Jr MD PA

NPI #1235629742 in Bangor, Maine

Provider Information

NPI Number: 1235629742
Entity Type: Organization
Organization Name: Robert W Haeberlein Jr MD PA
Subpart: Yes (part of a larger organization)
Parent Organization: ROBERT W HAEBERLEIN MD JR PA
Primary Specialty: Dermatology
Enumeration Date: May 10, 2018
Last Updated: May 10, 2018

Practice Location

Address: 700 MOUNT HOPE AVE STE 601
City: Bangor
State: Maine
ZIP Code: 04401-5674
Phone: (207) 942-4653

Authorized Official

Name: SHELLIE LYNN WELLS
Title: OFFICE MANAGER
Phone: (207) 942-4653

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dermatology	207N00000X	Primary

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