Mary Ellen Gellerstedt in Bangor - Developmental - Behavioral Pediatrics
Mary Ellen Gellerstedt - NPI 1457381568
Mary Ellen Gellerstedt is a Developmental - Behavioral Pediatrics in Bangor, Maine. Mary Ellen Gellerstedt practices all healthcare services and medical treatments related to Developmental - Behavioral Pediatrics. The NPI Number for Mary Ellen Gellerstedt is 1457381568. The last update date is 2017-02-24.
Mary Ellen Gellerstedt's current location address is 133 Corporate Dr, Bangor, Maine. You can contact this provider via phone number 2079737520 and fax number 2079737674. The mailing address for Mary Ellen Gellerstedt is 133 Corporate Dr, Bangor, Maine. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mary Ellen Gellerstedt |
|---|---|
| Address | 133 Corporate Dr, Bangor, Maine |
| Phone Number | 2079737520 |
| Fax Number | 2079737674 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1457381568 |
|---|---|
| Provider Enumeration Date | 2006-07-04 |
| Last Updated Date | 2017-02-24 |
Provider Mailing Address Detail
| Address | 133 Corporate Dr |
|---|---|
| City | Bangor |
| State | Maine (ME) |
| Post Code | 440143120 |
| Phone Number | 2079737520 |
| Fax Number | 2079737674 |
Provider's Primary Taxonomy Detail
| Speciality | Developmental - Behavioral Pediatrics |
|---|---|
| Taxonomy | 2080P0006X |
| Licence No | 16840 |
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Definition: A developmental-behavioral specialist is a pediatrician with special training and experience who aims to foster understanding and promotion of optimal development of children and families through research, education, clinical care and advocacy effort |
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What is the Mary Ellen Gellerstedt's 1457381568?
The Mary Ellen Gellerstedt's NPI (National Provider Identifier) Number is 1457381568. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Mary Ellen Gellerstedt is physically located?
The Mary Ellen Gellerstedt is physically situated at the following address: 133 Corporate Dr, Bangor, ME, 440143120.
What is Mary Ellen Gellerstedt's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Mary Ellen Gellerstedt's specialized field of practice is Developmental - Behavioral Pediatrics, and the corresponding taxonomy code that categorizes this area of specialization is 2080P0006X.
On what date did the Mary Ellen Gellerstedt receive the assignment of its 1457381568 from the Centers for Medicare & Medicaid Services?
The Mary Ellen Gellerstedt was issued its 1457381568 by the Centers for Medicare & Medicaid Services on 2006-07-04.
When was the information regarding Mary Ellen Gellerstedt most recently updated?
The details pertaining to the Mary Ellen Gellerstedt, including its address, specialty, and other relevant information, were last refreshed on 2017-02-24.