Individual
DR. DAVID A BRANCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
55 BROADWAY, BANGOR, ME 04401-5201
(207) 947-5657
(207) 947-1894
Mailing address
55 BROADWAY, BANGOR, ME 04401-5201
(207) 947-5657
(207) 947-1894
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
015284
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
163590099
—
ME
Enumeration date
10/05/2006
Last updated
05/18/2012
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