Penobscot Valley Dermatology, P.a.

NPI #1952536880 in Bangor, Maine

Provider Information

NPI Number: 1952536880
Entity Type: Organization
Organization Name: Penobscot Valley Dermatology, P.a.
Primary Specialty: Specialist
Enumeration Date: May 21, 2009
Last Updated: Jun 3, 2009

Practice Location

Address: 90 RIDGEWOOD DRIVE
City: Bangor
State: Maine
ZIP Code: 04401-2652
Phone: (207) 942-0669

Authorized Official

Name: DR. JEFFREY DEAN PITTIS, MD
Title: DERMATOLOGIST
Phone: (207) 942-0669

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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