Organization
ACADIA OB-GYN ASSOCIATES, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBRA L FOURNIER (PRACTICE COORDINATOR)
(207) 947-6501
Entity
Organization
Contact information
Practice address
68 MOUNT HOPE AVE, SUITE 3, BANGOR, ME 04401-4096
(207) 947-6501
(207) 941-0146
Mailing address
68 MOUNT HOPE AVE, SUITE 3, BANGOR, ME 04401-4096
(207) 947-6501
(207) 941-0146
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1041295
AETNA
ME
01
—
S0174
ANTHEM OF MAINE
ME
Enumeration date
03/25/2007
Last updated
08/22/2020
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