Organization
SUNBURY PRIMARY CARE, P.A.
Active
Parent organization
SUNBURY PRIMARY CARE, P.A.
Other names
Bangor Family Medicine
Organization subpart
Yes
Provider details
NPI number
Legal business name
SUNBURY PRIMARY CARE, P.A.
Authorized official
DAVID L SAVELL (CHIEF EXECUTIVE OFFICER)
(207) 942-7650
Entity
Organization
Contact information
Practice address
133 CORPORATE DR, SUITE 1, BANGOR, ME 04401-4312
(207) 947-9900
(207) 992-9292
Mailing address
PO BOX 921, BANGOR, ME 04402-0921
(207) 990-0864
(207) 990-5586
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
124740004
—
ME
Enumeration date
11/17/2006
Last updated
01/21/2009
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