Robert Wynne Haeberlein in Bangor - Dermatology
Robert Wynne Haeberlein - NPI 1104919901
Robert Wynne Haeberlein is a Dermatology in Bangor, Maine. Robert Wynne Haeberlein practices all healthcare services and medical treatments related to Dermatology. The NPI Number for Robert Wynne Haeberlein is 1104919901. The last update date is 2009-06-22.
Robert Wynne Haeberlein's current location address is 700 Mount Hope Avenue Suite 601, Bangor, Maine. You can contact this provider via phone number 2079424653 and fax number 2079904795. The mailing address for Robert Wynne Haeberlein is 700 Mount Hope Avenue Suite 601, Bangor, Maine. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Robert Wynne Haeberlein |
|---|---|
| Address | 700 Mount Hope Avenue Suite 601, Bangor, Maine |
| Phone Number | 2079424653 |
| Fax Number | 2079904795 |
| Sole Proprietor | Y |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1104919901 |
|---|---|
| Provider Enumeration Date | 2006-10-02 |
| Last Updated Date | 2009-06-22 |
Provider Mailing Address Detail
| Address | 700 Mount Hope Avenue Suite 601 |
|---|---|
| City | Bangor |
| State | Maine (ME) |
| Post Code | 44015600 |
| Phone Number | 2079424653 |
| Fax Number | 2079904795 |
Provider's Primary Taxonomy Detail
| Speciality | Dermatology |
|---|---|
| Taxonomy | 207N00000X |
| Licence No | 9794 |
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Definition: A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 110090000 | ME | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Robert Wynne Haeberlein by the Centers for Medicare & Medicaid Services (CMS)?
The Robert Wynne Haeberlein has been assigned the NPI (National Provider Identifier) 1104919901. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you share the physical location details of Robert Wynne Haeberlein?
The Robert Wynne Haeberlein is situated at 700 Mount Hope Avenue Suite 601, in the city of Bangor, state of ME, with the zip code 44015600.
What is Robert Wynne Haeberlein's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Robert Wynne Haeberlein is Dermatology, and the corresponding taxonomy classification code for this specialized field is 207N00000X.
When did Robert Wynne Haeberlein receive its 1104919901 assignment?
The Robert Wynne Haeberlein was assigned its 1104919901 on 2006-10-02, which is the date when this unique identifier was issued to the organization.
As of what date were the details related to Robert Wynne Haeberlein most recently updated or revised?
The information pertaining to Robert Wynne Haeberlein, including its address, specialty, and other relevant details, was last updated or revised on 2009-06-22.
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