Organization
PENOBSCOT COMMUNITY HEALTH CENTER
Active
Other names
J.A. Leonard Middle School RSU 34
Organization subpart
No
Provider details
NPI number
Authorized official
LORELLE DWYER ESQ. (PRESIDENT & CEO)
(207) 992-9200
Entity
Organization
Contact information
Practice address
156 OAK ST, OLD TOWN, ME 04468-1681
(207) 404-8000
Mailing address
PO BOX 1599, BANGOR, ME 04402-1599
(207) 992-2456
(207) 992-2154
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
11/09/2023
Last updated
11/09/2023
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