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Organization
PENOBSCOT COMMUNITY HEALTH CENTER
Active
Organization
PENOBSCOT COMMUNITY HEALTH CENTER
Active
Other names
James F. Doughty School
Organization subpart
No
Provider details
NPI number
Authorized official
LORELLE DWYER ESQ. (PRESIDENT & CEO)
(207) 992-9200
Entity
Organization
Contact information
Practice address
143 5TH ST, BANGOR, ME 04401-6045
(207) 941-6220
Mailing address
PO BOX 1599, BANGOR, ME 04402-1599
(207) 992-2456
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
06/10/2024
Last updated
06/10/2024
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