NPI 1548567068

Jaymie Fe Potenciano Panuncialman, MD

Practitioner Dermatology Physician Bangor, ME

Practice location

Address: 35 State Hospital Dr, Bangor, ME 04401-8816
Phone: (207) 561-3600
Mailing address: 381 Main St, Orono, ME 04473-3446

Registered specialties

Dermatology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207N00000X Licence MD20891 (ME)

Other Dermatology providers in Maine →

Registry record

NPI: 1548567068
Entity type: Individual
Sex (as registered): Female
NPI issued: 18 Feb 2011
Record last updated: 22 Mar 2019

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.