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Organization

BERNARD HADE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. PATTI SUE BURGESS (BILLING)
(207) 492-1045
Entity
Organization

Contact information

Practice address
7 HATCH DRIVE, SUITE 110, CARIBOU, ME 04736
(207) 492-1045
(207) 492-1046
Mailing address
7 HATCH DRIVE, SUITE 110, CARIBOU, ME 04736
(207) 492-1045
(207) 492-1046

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
013280
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
133550000
ME
01
RX2438
ACTIVE PROVIDER TRANSACTION ACCESS NUMBER
ME
Enumeration date
01/08/2007
Last updated
07/24/2008
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