Individual
ETHAN S CARON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
992 UNION ST, BANGOR, ME 04401-3057
(207) 404-8100
(207) 947-0435
Mailing address
PO BOX 1599, BANGOR, ME 04402-1599
(207) 404-8200
(207) 947-0435
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
OA006966
PA
363A00000X
Physician Assistant
PA2097
ME
Other
Enumeration date
05/01/2019
Last updated
09/17/2024
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