Northeast Nephrology Pa

NPI Provider: 1336145200
Contact Name: LEVY LAWRENCE DAVID
Position: PRESIDENT
Phone: (207) 973-8833

Northeast Nephrology Pa Information:

Northeast Nephrology Pa organization have npi 1336145200, taxonomy code is 174400000X with license number is in . This Business address located in 417 State St, Bangor, ME 44016 Maine.

Practice Location
Address: 417 State St, Bangor, ME 44016
Phone: (207) 973-8833

Business Location
Address: 417 State St, Bangor, ME 44016
Phone: (207) 973-8833
Fax: (207) 973-8836

Taxonomy

Taxonomy Code: 174400000X

License Number:

License Number of State:

Primary Taxonomy Switch: Y

Enumeration Date: 6/24/2005

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