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Individual

PAUL E SEGAL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
2 LIVEWELL DR, KENNEBUNK, ME 04043-6762
(207) 467-8988
Mailing address
1 MEDICAL CENTER DR, BIDDEFORD, ME 04005-9422

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
DO2850
ME
207RN0300X
Nephrology Physician
DO2850
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
229007300
MD
05
5837456
VA
Enumeration date
07/12/2005
Last updated
05/27/2020
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