Organization
JOSEPH L BENOIT M D P A
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH LAWRENCE BENOIT MD (OWNER)
(207) 990-1615
Entity
Organization
Contact information
Practice address
700 MOUNT HOPE AVE, SUITE 480, BANGOR, ME 04401-5691
(207) 990-1615
(207) 990-5997
Mailing address
700 MOUNT HOPE AVE, SUITE 480, BANGOR, ME 04401-5691
(207) 990-1615
(207) 990-5997
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
011974
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
127240099
—
ME
Enumeration date
09/20/2006
Last updated
12/20/2011
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