Individual
ANDRE BENOIT JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
45 HERRICK RD, SOUTHWEST HARBOR, ME 04679-4433
(207) 244-5513
(207) 664-5515
Mailing address
50 UNION ST, ELLSWORTH, ME 04605-1534
(207) 664-5513
(207) 664-5515
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
009835
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
111770199
—
ME
Enumeration date
06/13/2006
Last updated
10/28/2015
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