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Individual

DR. OSWALDO BISBAL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
77 BATES ST STE 202, LEWISTON, ME 04240-7637
(207) 784-5784
(207) 784-1477
Mailing address
77 BATES ST STE 202, LEWISTON, ME 04240-7637
(207) 784-5784
(207) 784-1477

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
0101238351
VA
207RG0100X
Gastroenterology Physician
Primary
017819
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
433425499
ME
Enumeration date
07/06/2006
Last updated
09/17/2009
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