Bangor Healthcare

NPI #1871804542 in Bangor, Maine

Provider Information

NPI Number: 1871804542
Entity Type: Organization
Organization Name: Bangor Healthcare
Primary Specialty: Family Medicine
Enumeration Date: Jun 28, 2010
Last Updated: Jun 28, 2010

Practice Location

Address: 109 STATE ST
City: Bangor
State: Maine
ZIP Code: 04401-5149
Phone: (207) 992-2395

Authorized Official

Name: PATR ANN SMALL
Title: PHYSICIAN
Phone: (207) 992-2395

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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