Individual
CAROLYN ELLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
498 ESSEX ST STE 106, BANGOR, ME 04401-3990
(207) 942-0669
Mailing address
498 ESSEX ST STE 106, BANGOR, ME 04401-3990
(207) 942-0669
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
DO2591
ME
Other
Enumeration date
07/11/2012
Last updated
01/05/2026
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