Individual
DR. RONALD E BAILYN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
121 MIDDLE ST, SUITE 404, PORTLAND, ME 04101-4156
(207) 772-8634
(207) 772-1629
Mailing address
20 ADELBERT ST, SOUTH PORTLAND, ME 04106-6512
(207) 772-8634
(207) 772-1629
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
011874
ME
2084P0805X
Geriatric Psychiatry Physician
011874
ME
Other
Enumeration date
07/05/2005
Last updated
10/03/2008
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