Organization
AROOSTOOK UROLOGY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IMBESAT A DAUDI M.D. (OWNER)
(207) 760-9456
Entity
Organization
Contact information
Practice address
181 ACADEMY ST, SUITE 3, PRESQUE ISLE, ME 04769-3178
(207) 760-9456
(207) 760-9457
Mailing address
181 ACADEMY ST, SUITE 3, PRESQUE ISLE, ME 04769-3178
(207) 760-9456
(207) 760-9457
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
014600
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
131930000
—
ME
Enumeration date
05/30/2008
Last updated
05/30/2008
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