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Organization
PENOBSCOT FAMILY FOOT AND ANKLE CENTER
Active
Organization
PENOBSCOT FAMILY FOOT AND ANKLE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DIANE MARIA DESANTIS (BILLING MANAGER)
(781) 231-7026
Entity
Organization
Contact information
Practice address
205 FRENCH ST, BANGOR, ME 04401-5064
(207) 945-5554
(207) 945-5196
Mailing address
205 FRENCH ST, BANGOR, ME 04401-5064
(207) 945-5554
(207) 945-5196
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
POD1032
ME
Other
Enumeration date
09/03/2014
Last updated
09/03/2014
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