Individual
TAKEO KAWAMURA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
263 STATE ST STE 23, BANGOR, ME 04401-5438
(207) 945-3615
(207) 945-3444
Mailing address
263 STATE ST STE 23, BANGOR, ME 04401-5438
(207) 945-3615
(207) 945-3444
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
005412
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
048918
ANTHEM
ME
Enumeration date
12/11/2006
Last updated
07/08/2007
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