Individual
MEHDI AGHAMOOSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1012 UNION ST, PENOBSCOT COMMUNITY HEALTH CENTER, BANGOR, ME 04401-3060
(207) 404-8100
Mailing address
PO BOX 1599, BANGOR, ME 04402-1599
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH12779
ME
Other
Enumeration date
01/13/2016
Last updated
01/13/2016
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