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NPI Code Detail

MEDICARE: ALIDA HAYNER-BUCHAN MD

MEDICARE: ALIDA HAYNER-BUCHAN MD
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
1207ZP0102XAnatomic Pathology & Clinical Pathology Physician221184NY

General Provider Information

NPI Number : 1659361293
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALIDA HAYNER-BUCHAN MD
Provider Business Mailing Address
First Line : PO BOX 781
Second Line :
City : LEWISTON
State : ME
Zip : 04243-0781
Country : US
Telephone Number : 413-447-2567
Fax Number :
Provider Business Practice Location Address
First Line : 725 NORTH ST
Second Line :
City : PITTSFIELD
State : MA
Zip : 01201-4109
Country : US
Telephone Number : 413-447-2569
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/25/2005
Last Update Date : 07/31/2024

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