Organization
PAUL N. SMITH, MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL N SMITH MD (OWNER)
(207) 945-6206
Entity
Organization
Contact information
Practice address
417 STATE ST STE 442, BANGOR, ME 04401-6634
(207) 945-6206
(207) 945-6317
Mailing address
417 STATE ST STE 442, BANGOR, ME 04401-6634
(207) 945-6206
(207) 945-6317
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
016277
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2285200099
—
ME
Enumeration date
09/20/2006
Last updated
08/22/2020
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