Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208100000X | Physical Medicine & Rehabilitation Doctor | 14570 | ME |
N | 2081P2900X | Pain Medicine | 14570 | ME |
NPI | 1033157961 |
---|---|
Provider Name | Peter Arabadjis |
First Address | Brewer, ME 04412-1005 |
Second Address | Bangor, ME 04401-6616 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/06/2006 |
Last Update Date | 02/12/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
G59696 | (02) |