Individual
ANTHONY S EKONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
336 MOUNT HOPE AVE STE 1, BANGOR, ME 04401-4236
(207) 573-1509
(207) 573-1750
Mailing address
336 MOUNT HOPE AVE STE 1, BANGOR, ME 04401-4236
(207) 573-1509
(207) 573-1750
Taxonomy
Speciality
Code
Description
License number
State
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
MD21285
ME
207WX0108X
Uveitis and Ocular Inflammatory Disease (Ophthalmology) Physician
MD21285
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036107903
—
IL
01
—
P00390107
RAILROAD MEDICARE
IL
Enumeration date
07/07/2006
Last updated
07/21/2022
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