Individual
MRS. ELIZABETH SARAH CARUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
417 STATE STREET WEBBER MEDICAL BUILDING, EAST ST, STE. 121, BANGOR, ME 04401
(207) 973-4266
Mailing address
43 WHITING HILL RD STE 300, BREWER, ME 04412-1006
(207) 973-5035
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA2057
ME
Other
Enumeration date
05/05/2020
Last updated
07/28/2020
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