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Individual

DR. PAUL KLUGER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
885 UNION ST, SUITE 145, BANGOR, ME 04401-3083
(207) 973-9595
(207) 973-7898
Mailing address
43 WHITING HILL RD, BREWER, ME 04412-1005
(207) 973-5000
(207) 973-5042

Taxonomy

Speciality
Code
Description
License number
State
207YX0007X
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
Primary
012600
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
002412
ANTHEM BLUE SHIELD
ME
01
040013980
RAILROAD INDIV PROV #
ME
01
100224700
DEPT OF LABOR GROUP #
ME
01
1040656
AETNA INDIV #
ME
05
110570000
ME
05
110570001
ME
05
306530099
ME
01
620012901
CIGNA INDIV #
ME
Enumeration date
12/06/2005
Last updated
12/12/2013
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