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NPI Code Detail

MEDICARE: DR. CLIFFORD M SINGER M.D.

MEDICARE: DR. CLIFFORD M SINGER M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084P0805XGeriatric Psychiatry Physician42-0010939VT
22084P0805XGeriatric Psychiatry PhysicianMD18561ME

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1023118361
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CLIFFORD M SINGER M.D.
Provider Business Mailing Address
First Line : 268 STILLWATER AVE
Second Line :
City : BANGOR
State : ME
Zip : 04401-3945
Country : US
Telephone Number : 207-973-6100
Fax Number :
Provider Business Practice Location Address
First Line : 268 STILLWATER AVE
Second Line :
City : BANGOR
State : ME
Zip : 04401-3945
Country : US
Telephone Number : 207-973-6100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/25/2006
Last Update Date : 05/08/2019

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