NPI 1275521650 · live from the CMS NPI Registry
Cynthia Amanda Self, MD
Ophthalmology in Bangor, ME. National Provider Identifier 1275521650, active.
NPI record
| NPI | 1275521650 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Ophthalmology 207W00000X |
| Practice location | 900 Hammond St # A, Bangor, ME 04401 |
| Practice phone | 207-947-6743 |
| Enumerated | October 11, 2005 |
| Last updated | April 5, 2018 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Ophthalmology, Cornea and External Diseases Specialist | 207WX0120X | MD16811 (ME) |
| Ophthalmology primary | 207W00000X | 016811 (ME) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.