Organization
NORTHEAST NEPHROLOGY PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN G COMEAU M.D. (PRESIDENT)
(207) 973-8833
Entity
Organization
Contact information
Practice address
417 STATE ST, STE 321, BANGOR, ME 04401-6638
(207) 973-8833
(207) 973-8836
Mailing address
417 STATE ST, STE 321, BANGOR, ME 04401-6638
(207) 973-8833
(207) 973-8836
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
132020000
—
ME
Enumeration date
06/24/2005
Last updated
05/04/2010
Update your record
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