Individual
JOHN P RAYMOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1 NORTHEAST DR, BANGOR, ME 04401-4332
(207) 275-3800
Mailing address
1 NORTHEAST DR, BANGOR, ME 04401-4335
(207) 275-3800
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA-204
ME
Other
Enumeration date
05/17/2006
Last updated
09/20/2024
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