Organization
MAINE VITREORETINAL CONSULTANTS, LLC PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEBORAH S HOFFERT M.D. (OWNER)
(207) 945-4474
Entity
Organization
Contact information
Practice address
700 MOUNT HOPE AVE, SUITE 470, BANGOR, ME 04401-5691
(207) 945-4474
(207) 941-5913
Mailing address
700 MOUNT HOPE AVE, SUITE 470, BANGOR, ME 04401-5691
(207) 945-4474
(207) 941-5913
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
013480
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
127740000
—
ME
Enumeration date
01/07/2008
Last updated
06/01/2016
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