NPI 1235629742

Robert W Haeberlein Jr MD PA

Organisation Dermatology Physician Bangor, ME

Practice location

Address: 700 Mount Hope Ave STE 601, Bangor, ME 04401-5674
Phone: (207) 942-4653
Fax: (207) 990-4795

Authorised official

Name: Shellie Lynn Wells
Title: Office Manager
Phone: (207) 942-4653

Registered specialties

Dermatology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207N00000X Licence MD9794 (ME)

Other Dermatology providers in Maine →

Registry record

NPI: 1235629742
Entity type: Organization
NPI issued: 10 May 2018
Record last updated: 10 May 2018

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.