MAINE VITREORETINAL CONSULTANTS LLC PA NPI 1295910479

NPI Information

MAINE VITREORETINAL CONSULTANTS, LLC PA is a specialist in Bangor, ME. The provider is 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. MAINE VITREORETINAL CONSULTANTS, LLC PA NPI is 1295910479. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

700 MOUNT HOPE AVE
SUITE 470
BANGOR, ME
ZIP 04401-691
Phone: (207) 945-4474
Fax: (207) 941-5913

The provider's authorized official is Deborah S Hoffert .
The authorized official title is Owner and has the following contact phone number (207) 945-4474.

The enumeration date for this NPI number is 1/7/2008 and was last updated on 6/1/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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