Individual
PAUL L AUCLAIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
22 BRAMHALL ST, PORTLAND, ME 04102-3134
(207) 662-2959
Mailing address
324 GANNETT DR STE 200, SOUTH PORTLAND, ME 04106-3266
Taxonomy
Speciality
Code
Description
License number
State
1223P0106X
Oral and Maxillofacial Pathology Dentistry
Primary
2623
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0007450055
AETNA
ME
01
—
036983
ANTHEM
ME
01
—
2323308
AETNA USHC
ME
05
—
3031852
—
NH
05
—
99002299
—
ME
01
—
M148551
CIGNA
ME
01
—
U73557
HPHC
ME
Enumeration date
11/15/2006
Last updated
07/28/2009
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