Organization Name: | MAINE VITREORETINAL CONSULTANTS, LLC PA |
NPI Number: | 1295910479 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DEBORAH S HOFFERT (OWNER) |
Mailing Address: | 700 Mount Hope Ave Suite 470 Bangor |
State: | ME US |
Postal Code: | 044015691 |
Phone Number: | 2079454474 |
Fax Number: | 2079415913 |
NPI Enumeration Date: | 01/07/2008 |
NPI Last Update Date: | 06/01/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 013480 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | ME |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |