NPI 1063198554 · live from the CMS NPI Registry
Northern Maine Skin Cancer Center PLLC
Dermatology in Bangor, ME. National Provider Identifier 1063198554, active.
NPI record
| NPI | 1063198554 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Dermatology 207N00000X |
| Practice location | 117 Broadway Ste 3, Bangor, ME 04401 |
| Practice phone | 207-802-0853 |
| Enumerated | June 27, 2023 |
| Last updated | June 30, 2023 |
| Authorized official | Faith Whalen, Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dermatology primary | 207N00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.