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1417973405
CHARLES F PATTAVINA
BANGOR, ME
NPI
1417973405
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: ME MD17854)
Enumeration Date
2006-07-14
Last Update Date
2022-02-03
Business Address
CHARLES F PATTAVINA MD
360 BROADWAY
BANGOR, ME 04401-3979
Phone number: 207-907-3000
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Mailing Address
CHARLES F PATTAVINA MD
C/O ST MARYS HEALTH SYSTEM - PROVIDER ENROLLMENT PO BOX 7291
LEWISTON, ME 04243-7291
Phone number: 207-777-8560
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