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1760418990
RICHARD A ENTEL
PORTLAND, ME
NPI
1760418990
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: ME MD12656)
Enumeration Date
2006-06-22
Last Update Date
2013-01-03
Business Address
-- RICHARD A ENTEL MD
331 VERANDA ST
PORTLAND, ME 04103-5545
Phone number: 207-828-2402
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Mailing Address
-- RICHARD A ENTEL MD
PO BOX 9746
PORTLAND, ME 04104-5040
Phone number: 207-791-3888
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