Individual
BEN THOMAS HIERONYMUS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ARNPC
Contact information
Practice address
26 MAIN ST, STE 2, NEWPORT, ME 04953
(207) 368-5747
(207) 368-5483
Mailing address
PO BOX J, NEWPORT, ME 04953
(207) 368-5747
(207) 368-5483
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R046445
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
327010099
—
ME
Enumeration date
02/28/2006
Last updated
12/20/2019
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