Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2084N0400X | Neurologist | 013532 | ME |
NPI | 1023234564 |
---|---|
Provider Name | Alan P Neuren |
First Address | Brunswick, ME 04011-3631 |
Second Address | Augusta, ME 04333-0011 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/04/2007 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
B25140 | (02) | ME |