Individual
FREDERICK A OLDENBURG JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
417 STATE ST, STE 400, BANGOR, ME 04401-6690
(207) 942-6096
(207) 973-8857
Mailing address
417 STATE ST, STE 400, BANGOR, ME 04401-6690
(207) 973-8852
(207) 973-8857
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
009401
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000559
BLUE CROSS
ME
01
—
110046889
RAILROAD MEDICARE
ME
05
—
320260099
—
ME
Enumeration date
05/05/2006
Last updated
01/07/2010
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