Whalio Doctors

NPI 1114939832

Jane Young

Practitioner Specialist Bangor, ME

Practice location

Address
404 State St, Bangor, ME 04401-6623
Phone
(207) 990-0928
Fax
(207) 945-4354

Registered specialties

Specialist Primary
Other Service Providers Taxonomy 174400000X Licence R012370 (ME)

Registry record

NPI
1114939832
Entity type
Individual
Sex (as registered)
Female
NPI issued
12 Aug 2006
Record last updated
8 Jul 2007

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.