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Individual

DR. PAUL RICHARD BENOIT JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
925 UNION ST, SUITE 3, BANGOR, ME 04401-1534
Mailing address
43 WHITING HILL RD., SUITE 300, BREWER, ME 04412
(207) 973-5035
(207) 973-5042

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
12849
RI
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
Primary
MD20957
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000029140
BMC HEALTHCARE
MA
01
079725
TUFTS INDIVIDUAL
MA
01
172400
HARVARD PILGRIM INDIVIDUA
MA
05
3197531
MA
05
9716360
MA
Enumeration date
11/21/2005
Last updated
04/06/2020
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