Organization
PAUL N. SMITH, M.D., P.A.
Active
Other names
Bangor OB/GYN
Organization subpart
No
Provider details
NPI number
Authorized official
BRENDA KENNEY (OFFICE MANAGER)
(207) 945-6588
Entity
Organization
Contact information
Practice address
68 MOUNT HOPE AVE, BANGOR, ME 04401-4096
(207) 945-6588
(207) 945-2955
Mailing address
68 MOUNT HOPE AVE, BANGOR, ME 04401-4096
(207) 945-6588
(207) 945-2955
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0004661923
AETNA
ME
01
—
060976
ANTHEM
ME
05
—
228520000
—
ME
Enumeration date
02/20/2007
Last updated
09/24/2008
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