Organization
BANGOR MEDICAL CENTER INC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. RENEE M MILLER (BILLING MANAGER)
61005887661
Entity
Organization
Contact information
Practice address
153 N 11TH ST, BANGOR, PA 18013-1603
(610) 588-4502
(610) 588-6928
Mailing address
153 N ELEVENTH ST, BANGOR, PA 18013
(610) 588-4502
(610) 588-6928
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
PA
Other
Enumeration date
11/08/2006
Last updated
07/21/2022
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