Individual
PAUL N SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
12 STILLWATER AVE, BANGOR, ME 04401-3984
(207) 945-6588
(207) 945-2955
Mailing address
12 STILLWATER AVE, BANGOR, ME 04401-3984
(207) 945-6588
(207) 945-2955
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
016277
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0004661923
AETNA
ME
01
—
020706512
IRS TAXPAYER ID NUMBER
ME
01
—
060976
ANTHEM BLUE SHIELD
ME
05
—
2285200099
—
ME
Enumeration date
07/11/2006
Last updated
02/28/2013
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