Robert Dudley Bach in Bangor - Adolescent Medicine

Robert Dudley Bach - NPI 1588754790

Robert Dudley Bach is a Adolescent Medicine in Bangor, Maine. Robert Dudley Bach practices all healthcare services and medical treatments related to Adolescent Medicine. The NPI Number for Robert Dudley Bach is 1588754790. The last update date is 2014-01-17.

Robert Dudley Bach's current location address is 489 State St, Bangor, Maine. You can contact this provider via phone number 2079737000 and fax number 2079735042. The mailing address for Robert Dudley Bach is 489 State St, Bangor, Maine. To know further, please read the information below!

Provider Profile Detail

Provider Name Robert Dudley Bach
Address 489 State St, Bangor, Maine
Phone Number 2079737000
Fax Number 2079735042
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1588754790
Provider Enumeration Date 2006-10-16
Last Updated Date 2014-01-17

Provider Mailing Address Detail

Address 489 State St
City Bangor
State Maine (ME)
Post Code 44016616
Phone Number 2079737000
Fax Number 2079735042

Provider's Primary Taxonomy Detail

Speciality Adolescent Medicine
Taxonomy 207Qa0000X
Licence No 7227
Definition:
A family medicine physician with multidisciplinary training in the unique physical, psychological and social characteristics of adolescents and their health care problems and needs.

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FAQs about Robert Dudley Bach

What is the unique identification code assigned to Robert Dudley Bach by the Centers for Medicare & Medicaid Services?

The Robert Dudley Bach has been issued the NPI (National Provider Identifier) 1588754790. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you kindly provide the complete physical address where Robert Dudley Bach's facilities are geographically located?

The facilities of Robert Dudley Bach are physically situated at the following location: 489 State St, Bangor, ME, 44016616.

What is Robert Dudley Bach's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Robert Dudley Bach is Adolescent Medicine, and the taxonomy code that categorizes this field of expertise is 207Qa0000X.

On what date did the Robert Dudley Bach receive its 1588754790 assignment from the Centers for Medicare & Medicaid Services?

The Robert Dudley Bach was assigned its 1588754790 by the Centers for Medicare & Medicaid Services on 2006-10-16.

As of what date was the information pertaining to Robert Dudley Bach, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Robert Dudley Bach, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2014-01-17.

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