Individual
ERIC M CORMIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSPT
Contact information
Practice address
1365 BROADWAY, BANGOR, ME 04401-2401
(207) 942-3947
Mailing address
1365 BROADWAY, BANGOR, ME 04401-2401
(207) 942-3947
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
PT2419
ME
Other
Enumeration date
05/26/2006
Last updated
12/07/2007
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