Individual
PAUL RONCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
302 HUSSON AVE, SUITE ONE, BANGOR, ME 04401-3374
(207) 947-6141
(207) 947-6720
Mailing address
43 WHITING HILL RD, SUITE 300, BREWER, ME 04412-1005
(207) 973-5035
(207) 973-5042
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
015994
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00097569
RAILROAD
—
Enumeration date
06/13/2006
Last updated
02/18/2014
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