Individual
IRA A BIRD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
121 MEDICAL CENTER DRIVE, SUITE 2550, BRUNSWICK, ME 04011
(207) 373-1707
(207) 373-1467
Mailing address
121 MEDICAL CENTER DR, SUITE 2550, BRUNSWICK, ME 04011-2653
(207) 373-1707
(207) 373-1467
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
016946
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
432213599
—
ME
Enumeration date
05/31/2006
Last updated
01/19/2015
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