Norman Robert Mallory in Bangor - Medical
Norman Robert Mallory - NPI 1710086608
Norman Robert Mallory is a Medical in Bangor, Maine. Norman Robert Mallory practices all healthcare services and medical treatments related to Medical. The NPI Number for Norman Robert Mallory is 1710086608. The last update date is 2022-02-03.
Norman Robert Mallory's current location address is 360 Broadway Ste 100, Bangor, Maine. You can contact this provider via phone number 2079073550 and fax number 2079073562. The mailing address for Norman Robert Mallory is 360 Broadway Ste 100, Bangor, Maine. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Norman Robert Mallory |
|---|---|
| Address | 360 Broadway Ste 100, Bangor, Maine |
| Phone Number | 2079073550 |
| Fax Number | 2079073562 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1710086608 |
|---|---|
| Provider Enumeration Date | 2006-09-21 |
| Last Updated Date | 2022-02-03 |
Provider Mailing Address Detail
| Address | 360 Broadway Ste 100 |
|---|---|
| City | Bangor |
| State | Maine (ME) |
| Post Code | 44013979 |
| Phone Number | 2079073550 |
| Fax Number | 2079073562 |
Provider's Primary Taxonomy Detail
| Speciality | Medical |
|---|---|
| Taxonomy | 363Am0700X |
| Licence No | PA-692 |
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Definition: A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment. |
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Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Norman Robert Mallory by the Centers for Medicare & Medicaid Services?
The Norman Robert Mallory has been issued the NPI (National Provider Identifier) 1710086608 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Norman Robert Mallory is physically located?
The Norman Robert Mallory is physically situated at the following address: 360 Broadway Ste 100, Bangor, ME, 44013979.
What is Norman Robert Mallory's specialized field of practice, and what is the corresponding taxonomy classification code?
The Norman Robert Mallory's area of specialization is Medical, and the corresponding taxonomy code that categorizes this field of practice is 363Am0700X.
When did Norman Robert Mallory receive its 1710086608 assignment?
The Norman Robert Mallory was assigned its 1710086608 on 2006-09-21, which is the date when this unique identifier was issued to the organization.
When was the information pertaining to Norman Robert Mallory most recently updated or revised?
The details related to Norman Robert Mallory, including its address, specialty, and other relevant information, were last updated or revised on 2022-02-03.