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Individual

RICHARD A ENTEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
331 VERANDA ST, PORTLAND, ME 04103-5545
(207) 828-2402
(207) 828-7850
Mailing address
PO BOX 9746, PORTLAND, ME 04104-5040
(207) 791-3888
(207) 828-7850

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD12656
ME

Other

Enumeration date
06/22/2006
Last updated
01/03/2013
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