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Organization

ROBERT W HAEBERLEIN JR MD PA

Active
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Organization

ROBERT W HAEBERLEIN JR MD PA

Active
Parent organization
ROBERT W HAEBERLEIN MD JR PA
Organization subpart
Yes

Provider details

NPI number
Legal business name
ROBERT W HAEBERLEIN MD JR PA
Authorized official
SHELLIE LYNN WELLS (OFFICE MANAGER)
(207) 942-4653
Entity
Organization

Contact information

Practice address
700 MOUNT HOPE AVE STE 601, BANGOR, ME 04401-5674
(207) 942-4653
(207) 990-4795
Mailing address
700 MOUNT HOPE AVE STE 601, BANGOR, ME 04401-5674
(207) 942-4653
(207) 990-4795

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
MD9794
ME

Other

Enumeration date
05/10/2018
Last updated
05/10/2018
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