| NPI | 1629112792 |
|---|---|
| Doing Business As | BANGOR OB/GYN |
| Entity Type | Organization |
| Authorized Contact | BRENDA KENNEY Office Manager 207-945-6588 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist |
| Enumeration Date | 2007-02-20 |
| Last Update Date | 2008-09-24 |