Bangor Surgical Associates, P.A. in Bangor - Surgery
Bangor Surgical Associates, P.A. - NPI 1881679116
Bangor Surgical Associates, P.A. is a Surgery in Bangor, Maine. Bangor Surgical Associates, P.A. practices all healthcare services and medical treatments related to Surgery. The NPI Number for Bangor Surgical Associates, P.A. is 1881679116. The last update date is 2010-12-15.
Bangor Surgical Associates, P.A.'s current location address is 358 Broadway, Bangor, Maine. You can contact this provider via phone number 2079475503 and fax number 2079478578. The mailing address for Bangor Surgical Associates, P.A. is 358 Broadway, Bangor, Maine. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Bangor Surgical Associates, P.A. |
|---|---|
| Address | 358 Broadway, Bangor, Maine |
| Phone Number | 2079475503 |
| Fax Number | 2079478578 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER/PRES |
|---|---|
| Authorized Official Name | Vanadia F John |
| Credentials | D.O. |
| Telephone Number | 2079475503 |
NPI Number Detail
| NPI Number | 1881679116 |
|---|---|
| Provider Enumeration Date | 2005-12-09 |
| Last Updated Date | 2010-12-15 |
Provider Mailing Address Detail
| Address | 358 Broadway |
|---|---|
| City | Bangor |
| State | Maine (ME) |
| Post Code | 44013929 |
| Phone Number | 2079475503 |
| Fax Number | 2079478578 |
Provider's Primary Taxonomy Detail
| Speciality | Surgery |
|---|---|
| Taxonomy | 208600000X |
| Licence No | 1149 |
|
Definition: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2677016 | ME | CIGNA PROVIDER NUMBER | |
| 134040000 | ME | -- | |
| 40754 | ME | ANTHEM BS PROVIDER # |
Post Comment/ Review Below
What is the unique identifier code issued to Bangor Surgical Associates, P.A. by the Centers for Medicare & Medicaid Services?
The Bangor Surgical Associates, P.A. has been assigned the NPI (National Provider Identifier) 1881679116. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Bangor Surgical Associates, P.A. is physically located?
The Bangor Surgical Associates, P.A. is situated at the following address: 358 Broadway, Bangor, ME 44013929.
What is the area of specialization for Bangor Surgical Associates, P.A., and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Bangor Surgical Associates, P.A. is Surgery, and the corresponding taxonomy code that categorizes this area of expertise is 208600000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1881679116 to Bangor Surgical Associates, P.A.?
The Centers for Medicare & Medicaid Services assigned the 1881679116 to Bangor Surgical Associates, P.A. on 2005-12-09.
When was the information related to Bangor Surgical Associates, P.A. most recently updated or refreshed?
The details pertaining to the Bangor Surgical Associates, P.A., including its address, specialty, and other relevant information, were last updated or refreshed on 2010-12-15.
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