Individual
KHALDOUN KAMAL BEKDACHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
417 STATE ST. SURGERY AND TRAUMA SPECIALISTS OF MAINE, WEBBER WEST, SUITE 340, BANGOR, ME 04401
(209) 973-4949
(207) 973-4466
Mailing address
43 WHITING HILL RD, BREWER, ME 04412-1005
(207) 973-4949
(207) 973-4466
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
054013
CT
2086S0102X
Surgical Critical Care Physician
054013
CT
390200000X
Student in an Organized Health Care Education/Training Program
054013
CT
Other
Enumeration date
09/11/2008
Last updated
12/15/2016
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