Organization
PENOBSCOT COMMUNITY HEALTH CENTER
Active
Other names
James F. Doughty School
Organization subpart
No
Provider details
NPI number
Authorized official
LORELLE DWYER ESQ. (PRESIDENT & CEO)
(207) 992-9200
Entity
Organization
Contact information
Practice address
143 5TH ST, BANGOR, ME 04401-6045
(207) 941-6220
Mailing address
PO BOX 1599, BANGOR, ME 04402-1599
(207) 992-2456
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
06/10/2024
Last updated
06/10/2024
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