Basic Information
Provider Information
NPI: 1922483718
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ABEL
FirstName: MARK
MiddleName: ARUN
NamePrefix: DR.
NameSuffix:  
Credential: MD MPH
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 43 WHITING HILL RD STE 300
Address2:  
City: BREWER
State: ME
PostalCode: 044121006
CountryCode: US
TelephoneNumber: 2079735000
FaxNumber: 2079735042
Practice Location
Address1: 417 STATE ST STE 200
Address2:  
City: BANGOR
State: ME
PostalCode: 044016630
CountryCode: US
TelephoneNumber: 2079734377
FaxNumber: 2079735810
Other Information
ProviderEnumerationDate: 07/22/2015
LastUpdateDate: 01/05/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 01/05/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
2083P0901XMD24122MEN Allopathic & Osteopathic PhysiciansPreventive MedicinePublic Health & General Preventive Medicine
207RI0200XMD24122MEY Allopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease

No ID Information.


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