Bangor Surgical Associates, P.A.

LBN: Bangor Surgical Associates, P.A.
Bangor Surgical Associates, P.A. is an health care organization with primary practice located at 358 Broadway Suite 306, Bangor ME 04401-3929. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as the primary health care specialty. Bangor Surgical Associates, P.A. can be contacted via phone (207) 947-5503, or through Vanadia, John F via phone (207) 947-5503.

Contact Information

Primary practice address
358 Broadway Suite 306 Bangor ME 04401-3929
Phone: (207) 947-5503
Fax: (207) 947-8578
Website:
Map and Directions
Authorized official contact:
Name: Vanadia, John F Doctor of Osteopathy (DO)
Phone: (207) 947-5503

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 1149 Maine

Profile Details

NPI number 1881679116
LBN Legal business name Bangor Surgical Associates, P.A.
DBA Doing business as
Authorized official Vanadia, John F Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 9th, 2005
Last updated Dec 15th, 2010 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1881679116 NPPES
Maine Other 2677016 CIGNA PROVIDER NUMBER
Maine MEDICAID 134040000 CIGNA PROVIDER NUMBER
Maine Other 040754 CIGNA PROVIDER NUMBER

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