Penobscot Valley Dermatology, P.A.

LBN: Penobscot Valley Dermatology, P.A.
Penobscot Valley Dermatology, P.A. is an health care organization with primary practice located at 90 Ridgewood Drive , Bangor ME 04401-2652. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Penobscot Valley Dermatology, P.A. can be contacted via phone (207) 942-0669, or through Pittis, Jeffrey Dean via phone (207) 942-0669.

Contact Information

Primary practice address
90 Ridgewood Drive Bangor ME 04401-2652
Phone: (207) 942-0669
Fax: (207) 947-3143
Website:
Map and Directions
Authorized official contact:
Name: Pittis, Jeffrey Dean Doctor of Medicine (MD)
Phone: (207) 942-0669

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X ME013153 Maine

Profile Details

NPI number 1952536880
LBN Legal business name Penobscot Valley Dermatology, P.A.
DBA Doing business as
Authorized official Pittis, Jeffrey Dean Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 21st, 2009
Last updated Jun 3rd, 2009 - 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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