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Individual

DR. BENJAMIN BRUCE MAILLOUX

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
16 FAHEY ST, SUITE 103, BELFAST, ME 04915
(207) 338-5440
(207) 338-6912
Mailing address
16 FAHEY ST, SUITE 103, BELFAST, ME 04915
(207) 338-5440
(207) 338-6912

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
018083
ME

Other

Enumeration date
09/07/2006
Last updated
01/14/2010
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