Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QH0002X | Family Doctor - Hospice and Palliative Medicine | 12761 | ME |
NPI | 1023007127 |
---|---|
Provider Name | Dr. David Howard Dumont |
First Address | Brunswick, ME 04011-2764 |
Second Address | Brunswick, ME 04011-2764 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/10/2005 |
Last Update Date | 08/02/2022 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
120880000 | (05) | ME |