Organization · Type 2 NPI
Penobscot Valley Dermatology, P.a.
Specialist · Bangor, ME
NPI number
1952536880
Active
Practice location
90 Ridgewood Drive
Bangor, ME 04401-2652
Fax (207) 947-3143
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | ME013153 (ME) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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About NPI 1952536880
Penobscot Valley Dermatology, P.a.'s National Provider Identifier is 1952536880, issued on May 21, 2009. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Bangor, ME. The record was last updated on Jun 3, 2009.