MAINE FUNCTIONAL MEDICINE NPI 1427512904

NPI Information

MAINE FUNCTIONAL MEDICINE is a family medicine in Bangor, ME. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. MAINE FUNCTIONAL MEDICINE NPI is 1427512904. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

33 PENN PLZ STE A
BANGOR, ME
ZIP 04401-619
Phone: (207) 941-0080
Fax: (207) 941-0093

The provider's authorized official is Kelly Drake .
The authorized official title is Office Manager and has the following contact phone number (207) 941-0080.

The CLIA number assigned to this NPI record is 20D1045000 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 1/29/2019 and was last updated on 1/29/2019.

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

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