Individual
TRACEY T HUGHES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
417 STATE ST STE 442, BANGOR, ME 04401-6634
(207) 973-5200
(207) 942-1929
Mailing address
43 WHITING HILL RD STE 300, BREWER, ME 04412-1006
(207) 973-5200
(207) 942-1929
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
014706
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
323980099
—
ME
Enumeration date
06/15/2006
Last updated
05/15/2020
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