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Evergreen Gynecology Associates, P.a.
Gynecology Physician in Bangor, Maine
NPI 1629154463

Evergreen Gynecology Associates, P.a. is a Gynecology Physician based in Bangor, ME and is specialized in Gynecology. Evergreen Gynecology Associates, P.a. practices in Bangor, ME. The NPI Number for Evergreen Gynecology Associates, P.a. is 1629154463 and holds a License No. 011478 (Maine).

The current practice location address for Evergreen Gynecology Associates, P.a. is 700 Mount Hope Ave, Bangor, ME and can be reached out via phone at 207-947-8658 and via fax at 207-947-4440.

Location: 700 Mount Hope Ave, Bangor, ME, 04401-5691
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Provider Profile Details
NPI Number
1629154463
Provider Name
Evergreen Gynecology Associates, P.a.
Credential
Provider Entity Type
Organization
Address
700 Mount Hope Ave, Bangor, ME, 04401-5691
Phone Number
207-947-8658
Fax Number
207-947-4440
Provider Enumeration Date
10/27/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
115880000 05 ME
000697 01 ME ANTHEM
M63911 01 ME CIGNA
726446 01 ME AETNA
institution
Provider Business Practice Location Address Details
Address
700 Mount Hope Ave
City
State
Zip
04401-5691
Phone Number
207-947-8658
Fax Number
207-947-4440
person
Provider Business Mailing Address Details
Address
700 Mount Hope Ave
City
State
Zip
04401-5691
Phone Number
207-947-8658
Fax Number
207-947-4440
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
Gynecology
Taxonomy
License No.
011478 (Maine)
Definition
Definition to come...
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