Individual
MAURICE PARE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
656 STATE ST, BANGOR, ME 04401-5609
(207) 941-4036
(207) 941-4062
Mailing address
656 STATE ST, BANGOR, ME 04401-5609
(207) 941-4036
(207) 941-4062
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
1117
ME
208100000X
Physical Medicine & Rehabilitation Physician
1117
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
061193
ANTHEM BC
ME
05
—
F64380
—
ME
Enumeration date
01/04/2007
Last updated
09/26/2008
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