Individual
CHARLES TIMOTHY ALBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
194 E MAIN ST, FORT KENT, ME 04743-9977
(207) 834-6140
(207) 834-4451
Mailing address
194 E MAIN ST, FORT KENT, ME 04743-9977
(207) 834-6140
(207) 834-4451
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA-634
ME
Other
Enumeration date
11/15/2005
Last updated
01/04/2012
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