Individual
DR. ALGIS VYDAS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
360 BROADWAY, BANGOR, ME 04401-3979
(207) 262-1938
Mailing address
PO BOX 778, BANGOR, ME 04402-0778
(207) 262-1938
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
008670
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
037060
ANTHEM BCBS
ME
01
—
2252585
AETNA
ME
01
—
MN3164
HARVARD PILGRIM
ME
Enumeration date
06/12/2006
Last updated
07/08/2007
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