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Individual

BRUCE P BATES

Active
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Individual

BRUCE P BATES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Taxonomy

Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
896
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
018064
BC/BS
ME
01
080155424
RR MEDICARE
ME
01
1044290
AETNA
ME
05
1467439943
ME
05
30224267
NH
01
610006701
CIGNA
ME
01
E06877
HPHC
ME
Enumeration date
12/27/2005
Last updated
02/06/2013
Update your record

If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.

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