Jeffrey Dean Pittis M.D.

NPI 1023006194 - Dermatology - 207N00000X

NPI Details
NPI 1023006194
Gender Male
Enumeration Date 10/12/2005
Last Updated 07/08/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
90 RIDGEWOOD DR
BANGOR ME, 04401-2652, US
Phone (207) 942-0669
Fax (207) 947-3143
Business Location
90 RIDGEWOOD DR
BANGOR ME, 04401-2652, US
Phone (207) 942-0669
Fax (207) 947-3143
Toxanomy
Taxonomy Code 207N00000X
License State Maine
License Number ME013153
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According to our database, Dr. Jeffrey Dean Pittis M.D. NPI is 1023006194, taxonomy code is 207N00000X and license number is ME013153, license state is located at Maine. Jeffrey Dean Pittis M.D. physically located at 90 Ridgewood Dr, Bangor ME, 04401-2652. NPI Number Jeffrey Dean Pittis M.D. has the Individual type.

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1023006194 NPI number is provided on an as is basis without warranty of any kind. 1023006194 is maintained by the National Plan & Provider Enumeration System. The contents of Jeffrey Dean Pittis M.D. are for informational purposes only.