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1649362724
PAUL R PULTORAK
BANGOR, ME
NPI
1649362724
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207L00000X Anesthesiology
(Licence: ME DO1960)
Enumeration Date
2006-09-28
Last Update Date
2022-02-03
Business Address
PAUL R PULTORAK D.O.
360 BROADWAY
BANGOR, ME 04401
Phone number: 207-907-1430
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Mailing Address
PAUL R PULTORAK D.O.
C/O ST MARYS HEALTH SYSTEM - PROVIDER ENROLLMENT PO BOX 7291
LEWISTON, ME 04243-7291
Phone number: 207-777-8560
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