Penobscot Surgical Care, P.A. in Bangor - Surgery
Penobscot Surgical Care, P.A. - NPI 1124175294
Penobscot Surgical Care, P.A. is a Surgery in Bangor, Maine. Penobscot Surgical Care, P.A. practices all healthcare services and medical treatments related to Surgery. The NPI Number for Penobscot Surgical Care, P.A. is 1124175294. The last update date is 2020-08-22.
Penobscot Surgical Care, P.A.'s current location address is 700 Mount Hope Ave, Bangor, Maine. You can contact this provider via phone number 2079471333 and fax number 2079471360. The mailing address for Penobscot Surgical Care, P.A. is 700 Mount Hope Ave, Bangor, Maine. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Penobscot Surgical Care, P.A. |
|---|---|
| Address | 700 Mount Hope Ave, Bangor, Maine |
| Phone Number | 2079471333 |
| Fax Number | 2079471360 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Starks R Michael |
| Credentials | M.D. |
| Telephone Number | 2079471333 |
NPI Number Detail
| NPI Number | 1124175294 |
|---|---|
| Provider Enumeration Date | 2007-01-04 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 700 Mount Hope Ave |
|---|---|
| City | Bangor |
| State | Maine (ME) |
| Post Code | 44015691 |
| Phone Number | 2079471333 |
| Fax Number | 2079471360 |
Provider's Primary Taxonomy Detail
| Speciality | Surgery |
|---|---|
| Taxonomy | 208600000X |
| Licence No | 15539 |
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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; |
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Post Comment/ Review Below
What is the unique 10-digit identification code issued to Penobscot Surgical Care, P.A. by the Centers for Medicare & Medicaid Services?
The Penobscot Surgical Care, P.A. has been assigned the NPI (National Provider Identifier) 1124175294 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete street address where Penobscot Surgical Care, P.A. is physically located?
The Penobscot Surgical Care, P.A. is physically situated at the following address: 700 Mount Hope Ave, Bangor, ME, 44015691.
What is Penobscot Surgical Care, P.A.'s area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Penobscot Surgical Care, P.A. is Surgery, and the taxonomy code that categorizes this field of expertise is 208600000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1124175294 to Penobscot Surgical Care, P.A.?
The Penobscot Surgical Care, P.A. received its 1124175294 assignment from the Centers for Medicare & Medicaid Services on 2007-01-04.
When was the Penobscot Surgical Care, P.A.'s information last updated?
The Penobscot Surgical Care, P.A.'s information was last updated on 2020-08-22.
NPI Number: 1982607784
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