Organization · Type 2 NPI
Evergreen Gynecology Associates, P.a.
Gynecology Physician · Bangor, ME
NPI number
1629154463
Active
Practice location
700 Mount Hope Ave, Suite 430
Bangor, ME 04401-5691
Fax (207) 947-4440
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gynecology Physician Primary | 207VG0400X | 011478 (ME) |
Gynecology Physician: A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions.
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About NPI 1629154463
Evergreen Gynecology Associates, P.a.'s National Provider Identifier is 1629154463, issued on Oct 27, 2006. The primary taxonomy on file is Gynecology Physician (207VG0400X), and the practice location is in Bangor, ME. The record was last updated on Oct 16, 2013.