Individual
MICHAEL D. HALBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
489 STATE ST, BANGOR, ME 04401-6616
(207) 973-8305
Mailing address
300 PROFESSIONAL DR, SCARBOROUGH, ME 04074-8433
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
010503
ME
2085N0700X
Neuroradiology Physician
010503
ME
2085N0904X
Nuclear Radiology Physician
010503
ME
2085P0229X
Pediatric Radiology Physician
010503
ME
2085R0202X
Diagnostic Radiology Physician
Primary
010503
ME
2085R0203X
Therapeutic Radiology Physician
010503
ME
2085R0204X
Vascular & Interventional Radiology Physician
010503
ME
2085U0001X
Diagnostic Ultrasound Physician
010503
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0005222035
AETNA/USHC
ME
01
—
024270
ANTHEM
ME
01
—
2323435
AETNA
ME
01
—
AA17870
HPHC
ME
01
—
M8521
CIGNA
ME
Enumeration date
10/13/2006
Last updated
07/13/2007
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