Organization
PENOBSCOT FAMILY FOOT AND ANKLE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DIANE MARIA DESANTIS (BILLING MANAGER)
(781) 231-7026
Entity
Organization
Contact information
Practice address
205 FRENCH ST, BANGOR, ME 04401-5064
(207) 945-5554
(207) 945-5196
Mailing address
205 FRENCH ST, BANGOR, ME 04401-5064
(207) 945-5554
(207) 945-5196
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
POD1032
ME
Other
Enumeration date
09/03/2014
Last updated
09/03/2014
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