Individual
AFFAN UMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.B.B.S
Contact information
Practice address
489 STATE ST, BANGOR, ME 04401-6616
(207) 953-7000
Mailing address
324 GANNETT DR STE 200, SOUTH PORTLAND, ME 04106-3266
(207) 348-2178
(207) 482-7898
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD25356
ME
2085R0204X
Vascular & Interventional Radiology Physician
R-12056
IA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1093062671
—
ME
Enumeration date
08/13/2012
Last updated
05/24/2022
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