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Individual

MR. PAUL O'CONNOR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA

Contact information

Practice address
489 STATE ST, EMERGENCY DEPARTMENT, BANGOR, ME 04401-6616
(207) 973-7250
(207) 973-5656
Mailing address
43 WHITING HILL ROAD, SUITE 300, BREWER, ME 04412
(207) 973-7250
(207) 973-5656

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA-236
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1801804281
ME
Enumeration date
08/03/2006
Last updated
08/22/2017
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