# JOSEPH L BENOIT M D P A

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

## Provider details

- **NPI number:** 1558469791
- **Authorized official:** DR. JOSEPH LAWRENCE BENOIT MD (OWNER)
- **Authorized official phone:** (207) 990-1615

## Contact information

- **Practice address:** 700 MOUNT HOPE AVE, SUITE 480, BANGOR, ME 04401-5691
- **Practice address phone:** (207) 990-1615
- **Practice address fax:** (207) 990-5997
- **Mailing address:** 700 MOUNT HOPE AVE, SUITE 480, BANGOR, ME 04401-5691
- **Mailing address phone:** (207) 990-1615
- **Mailing address fax:** (207) 990-5997

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | 011974 | ME | Yes |

## Other

- **Enumeration date:** 09/20/2006
- **Last updated:** 12/20/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 127240099 | — | ME |