Organization
PENOBSCOT RESPIRATORY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS G FREY MD (PRESIDENT)
(207) 942-6096
Entity
Organization
Contact information
Practice address
417 STATE ST, STE 400, BANGOR, ME 04401-6630
(207) 942-6096
(207) 973-8857
Mailing address
417 STATE ST, STE 400, BANGOR, ME 04401-6630
(207) 942-6096
(207) 973-8857
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
—
—
Other
Enumeration date
06/04/2006
Last updated
11/25/2014
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