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Individual

DR. MATTHEW G PYENTA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
710 MAIN ST, LEWISTON, ME 04240
(207) 783-1449
(207) 777-3865
Mailing address
710 MAIN ST, LEWISTON, ME 04240
(207) 783-1449
(207) 777-3865

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2082
ME
207RN0300X
Nephrology Physician
Primary
2082
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
433123499
ME
Enumeration date
12/06/2005
Last updated
02/26/2013
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