Organization
NORTHEAST SURGERY, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROLYN FETHA (PRACTICE MANAGER)
(207) 947-5241
Entity
Organization
Contact information
Practice address
417 STATE ST STE 330, BANGOR, ME 04401-6638
(207) 947-5241
(207) 973-8880
Mailing address
417 STATE ST STE 330, BANGOR, ME 04401-6638
(207) 947-5241
(207) 973-8880
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
03/02/2007
Last updated
08/22/2020
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