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NPI Code Detail

MEDICARE: ANDREW J FLETCHER MD

MEDICARE: ANDREW J FLETCHER 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
1207Q00000XFamily Medicine PhysicianMD16680ME

General Provider Information

NPI Number : 1750409223
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANDREW J FLETCHER MD
Provider Business Mailing Address
First Line : PO BOX 1599
Second Line :
City : BANGOR
State : ME
Zip : 04402-1599
Country : US
Telephone Number : 207-404-8200
Fax Number :
Provider Business Practice Location Address
First Line : 1012 UNION ST
Second Line :
City : BANGOR
State : ME
Zip : 04401-3060
Country : US
Telephone Number : 207-404-8100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/26/2007
Last Update Date : 08/14/2023

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