Individual
GERARDO ENRIQUE FRANCO AHUMADA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
489 STATE ST, BANGOR, ME 04401
(207) 973-7000
Mailing address
43 WHITING HILL RD STE 300, BREWER, ME 04412-1006
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD22240
ME
207RN0300X
Nephrology Physician
Primary
MD22240
ME
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/10/2013
Last updated
11/29/2018
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