Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Q00000X | Family Doctor | DO2019 | ME |
N | 207QH0002X | Family Doctor - Hospice and Palliative Medicine | DO2019 | ME |
NPI | 1013107879 |
---|---|
Provider Name | Robert N. Hunold |
First Address | Damariscotta, ME 04543-4047 |
Second Address | Damariscotta, ME 04543-4047 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/07/2007 |
Last Update Date | 10/10/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
432745099 | (05) | ME |