PAUL R PULTORAK

BANGOR, ME
NPI1649362724
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207L00000X Anesthesiology
(Licence: ME  DO1960)
Enumeration Date2006-09-28
Last Update Date2022-02-03
Business Address
PAUL R PULTORAK D.O.
360 BROADWAY
BANGOR, ME 04401
Phone number: 207-907-1430
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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