Organization
NORTHEAST PAIN MANAGEMENT, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM B ZOLPER MD (PRESIDENT)
(207) 942-6226
Entity
Organization
Contact information
Practice address
1365 BROADWAY, BANGOR, ME 04401-2401
(207) 942-6226
(207) 992-2756
Mailing address
1365 BROADWAY, BANGOR, ME 04401-2401
(207) 942-6226
(207) 992-2756
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
—
208VP0014X
Interventional Pain Medicine Physician
Primary
—
ME
225100000X
Physical Therapist
—
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
432219900
—
ME
Enumeration date
07/31/2006
Last updated
03/12/2021
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