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Individual

DR. MADJID YAGHMAI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
49 2ND ST, PRESQUE ISLE, ME 04769-2637
(207) 762-4641
(207) 762-3336
Mailing address
77 COLLINS ST, CARIBOU, ME 04736-2452
(207) 498-6507

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
006467
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
002869
ANTHEM BC/BS
ME
Enumeration date
07/07/2006
Last updated
07/08/2007
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