Individual
NIKOLAUS THOMAS HURLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1 NORTHEAST DR, BANGOR, ME 04401-4332
(207) 275-3800
(207) 275-3803
Mailing address
43 WHITING HILL RD, SUITE 300, BREWER, ME 04412-1005
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA1670
ME
Other
Enumeration date
12/14/2016
Last updated
02/15/2017
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