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Individual

JOHN JOSEPH OPRENDEK JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
6 E CHESTNUT ST, AUGUSTA, ME 04330-5717
(207) 626-1409
(207) 626-1046
Mailing address
149 NORTH ST, WATERVILLE, ME 04901-4974
(207) 872-1156
(207) 872-1737

Taxonomy

Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
010264
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
025970
ANTHEM
ME
01
2233095
AETNA
ME
05
238500099
ME
01
M55184
CIGNA
ME
Enumeration date
11/30/2006
Last updated
05/09/2008
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