Organization
SPECTRUM HEALTHCARE PARTNERS, PA
Active
Parent organization
SPECTRUM HEALTHCARE PARTNERS, PA
Other names
Spectrum Radiology North, Spectrum Medical Group, PA
Organization subpart
Yes
Provider details
NPI number
Legal business name
SPECTRUM HEALTHCARE PARTNERS, PA
Authorized official
DANIEL MCCORMACK (CEO)
(207) 482-7800
Entity
Organization
Contact information
Practice address
489 STATE ST, BANGOR, ME 04401-6616
(207) 973-8305
Mailing address
PO BOX 95000 LB#7810, PHILADELPHIA, PA 19195-0001
(844) 947-4259
(302) 261-8368
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
—
—
2085N0700X
Neuroradiology Physician
—
—
2085N0904X
Nuclear Radiology Physician
—
—
2085P0229X
Pediatric Radiology Physician
—
—
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
2085R0204X
Vascular & Interventional Radiology Physician
—
—
2085U0001X
Diagnostic Ultrasound Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1710993159
—
ME
Enumeration date
07/31/2006
Last updated
05/14/2026
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