Individual
JOHN I PYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
78 RIDGEWOOD DR, BANGOR, ME 04401-2652
(207) 947-8381
(207) 947-6056
Mailing address
78 RIDGEWOOD DR, BANGOR, ME 04401-2652
(207) 947-8381
(207) 947-6056
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
013747
ME
2086S0105X
Surgery of the Hand (Surgery) Physician
Primary
013747
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
011499
ANTHEM
—
01
—
09-01065
UNITED HC
—
01
—
1040724
AETNA
—
01
—
2000028936
RR MEDICARE
—
05
—
304280099
—
ME
01
—
M67422
CIGNA
—
01
—
ME0560
HP
—
Enumeration date
06/09/2005
Last updated
07/16/2021
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