NPI 1194763110

Down East Orthopedic Assoc PA

Organisation Specialist Bangor, ME

Practice location

Address: 78 Ridgewood Dr, Bangor, ME 04401-2652
Phone: (207) 947-8381
Fax: (207) 942-5631

Authorised official

Name: Gerald Merrill
Title: Administrator
Phone: (207) 307-8954

Registered specialties (3)

Specialist Primary

Other Service Providers Taxonomy 174400000X

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Physical Therapist

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225100000X

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Occupational Therapist

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225X00000X

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Registry record

NPI: 1194763110
Entity type: Organization
NPI issued: 3 Jun 2006
Record last updated: 16 Jul 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.