NPI 1962821769 · live from the CMS NPI Registry
Thomas Samuel Bander, MD
Dermatology, MOHS-Micrographic Surgery in Portland, ME. National Provider Identifier 1962821769, active.
NPI record
| NPI | 1962821769 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dermatology, MOHS-Micrographic Surgery 207ND0101X |
| Practice location | 1601 Congress St, Portland, ME 04102 |
| Practice phone | 207-661-0100 |
| Enumerated | April 9, 2014 |
| Last updated | March 13, 2025 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dermatology, MOHS-Micrographic Surgery primary | 207ND0101X | MD23111 (ME) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.