Individual
MR. ROBERT ALAN CLOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
417 STATE ST, SUITE 421, BANGOR, ME 04401-6630
(207) 973-5293
(207) 973-5263
Mailing address
43 WHITING HILL RD STE 300, BREWER, ME 04412-1006
(207) 973-5035
(207) 973-5042
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
012266
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
117950000
—
ME
Enumeration date
12/15/2005
Last updated
08/17/2011
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