# PRIMARY CARE PEDIATRICS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1548306723
- **Authorized official:** TERI DOW CPC (OFFICE MANAGER)
- **Authorized official phone:** (207) 947-6739

## Contact information

- **Practice address:** 700 MOUNT HOPE AVE, STE 640, BANGOR, ME 04401-5691
- **Practice address phone:** (207) 947-6739
- **Practice address fax:** (207) 942-3554
- **Mailing address:** 700 MOUNT HOPE AVE, STE 640, BANGOR, ME 04401-5691
- **Mailing address phone:** (207) 947-6739
- **Mailing address fax:** (207) 942-3554

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302F00000X | Exclusive Provider Organization | 007119 | ME | Yes |

## Other

- **Enumeration date:** 01/29/2007
- **Last updated:** 08/22/2020