Organization
RADIOLOGY PROFESSIONALS, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID LANGDON MD (MD, PRESIDENT)
(207) 784-2554
Entity
Organization
Contact information
Practice address
144 STATE STREET, PORTLAND, ME 04101-3776
(207) 879-3000
Mailing address
PO BOX 1849, LEWISTON, ME 04241-1849
(207) 784-2554
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
2085R0204X
Vascular & Interventional Radiology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1912984089
—
ME
Enumeration date
02/08/2019
Last updated
02/08/2019
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