Individual
CYNTHIA AMANDA SELF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
900 HAMMOND ST # A, BANGOR, ME 04401-4378
(207) 947-6743
(207) 945-4397
Mailing address
900 HAMMOND ST # A, BANGOR, ME 04401-4378
(207) 947-6743
(207) 945-4397
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
016811
ME
207WX0120X
Cornea and External Diseases Specialist Physician
MD16811
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
431809499
—
ME
Enumeration date
10/11/2005
Last updated
04/05/2018
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