Healthcare Provider Details

I. General information

NPI: 1326638248
Provider Name (Legal Business Name): BENJAMIN L STRANG PA-C
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/25/2021
Last Update Date: 08/21/2026
Certification Date: 08/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15 ENTERPRISE DR
AUGUSTA ME
04330-7997
US

IV. Provider business mailing address

24 MILES CENTER WAY
DAMARISCOTTA ME
04543-4067
US

V. Phone/Fax

Practice location:
  • Phone: 207-621-8700
  • Fax: 207-621-7500
Mailing address:
  • Phone: 207-563-4250
  • Fax: 207-810-4977

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberPA2194
License Number StateME

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: