Organization
PENBAY X-RAY ASSOCIATES, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRUCE LEITER M.D. (PRESIDENT)
(207) 784-2554
Entity
Organization
Contact information
Practice address
6 GLEN COVE DR, ROCKPORT, ME 04856-4240
(207) 596-8000
Mailing address
PO BOX 1849, LEWISTON, ME 04241-1849
(207) 784-2554
(207) 783-4079
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
105270000
—
ME
Enumeration date
06/13/2005
Last updated
02/13/2015
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