Individual
DR. ROBERT J TAKACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
12 STILLWATER AVE, BANGOR, ME 04401-3984
(207) 945-4474
Mailing address
12 STILLWATER AVE, BANGOR, ME 04401-3984
(207) 945-4474
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
006005
ME
Other
Enumeration date
11/22/2006
Last updated
01/07/2008
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