| Careconnectmd Maine PC | |
|
700 Main St Ste 3 Bangor ME 04401-6800 | |
| (888) 789-9585 | |
| Not Available |
| Full Name | Careconnectmd Maine PC |
|---|---|
| Speciality | General Practice |
| Location | 700 Main St Ste 3, Bangor, Maine |
| Authorized Official Name and Position | Hyong Kim (OWNER) |
| Authorized Official Contact | 8887899585 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Careconnectmd Maine PC 3090 Bristol St Ste 200 Costa Mesa CA 92626-3061 | Careconnectmd Maine PC 700 Main St Ste 3 Bangor ME 04401-6800 Ph: (888) 789-9585 |
| NPI Number | 1609557156 |
|---|---|
| Provider Enumeration Date | 07/27/2023 |
| Last Update Date | 07/27/2023 |
| Certification Date | 07/27/2023 |
| Medicare PECOS PAC ID | 7517453236 |
|---|---|
| Medicare Enrollment ID | O20260102000370 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609557156 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | () | Primary |
| Provider Name | Orlando Collado |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205964947 PECOS PAC ID: 8820143134 Enrollment ID: I20260115000070 |
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