Reginald T Puckett MD

NPI 1639270879 - Obstetrics & Gynecology - 207V00000X

NPI Details
NPI 1639270879
Gender Male
Enumeration Date 09/26/2006
Last Updated 06/25/2008
Entity Type Individual
Active Over 10 years ago
Practice Location
306 MAIN STREET
MAINE COAST WOMEN CARE
ELLSWORTH ME, 04605, US
Phone (207) 664-5650
Fax (507) 664-5651
Business Location
50 UNION STREET
ELLSWORTH ME, 04605, US
Phone (207) 664-5304
Fax (207) 664-5305
Toxanomy
Taxonomy Code 207V00000X
License State New York
License Number 131173
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According to our database, Reginald T Puckett MD NPI is 1639270879, taxonomy code is 207V00000X and license number is 131173, license state is located at New York. Reginald T Puckett MD physically located at 306 Main Street, Ellsworth ME, 04605. NPI Number Reginald T Puckett MD has the Individual type.

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1639270879 NPI number is provided on an as is basis without warranty of any kind. 1639270879 is maintained by the National Plan & Provider Enumeration System. The contents of Reginald T Puckett MD are for informational purposes only.