DR. GARY DEGEN LLC
NPI 1053795278
Clinic/Center - Podiatric in Bangor, ME
Active since July 17, 2015
About Dr. Gary Degen Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. GARY DEGEN LLC (NPI 1053795278) is a healthcare organization registered as a podiatric in Bangor, Maine and active in the NPI registry since July 2015. The organization lists Gary P Degen, Owner, as its authorized official.
NPPES Registry Identity
NPI1053795278
Entity TypeOrganization
Primary Taxonomy261QP1100X
Legal Business NameDR. GARY DEGEN LLC
Location Address26 WOODVIEW DRBangor, ME 04401-3541
Mailing Address26 Woodview DrBangor, ME 04401-3541 · (502) 475-1915
Phone(502) 475-1915
Organization SubpartNo
Authorized OfficialGary P DegenOwner · (502) 475-1915
Enumeration DateJuly 17, 2015
✔ NPI 1053795278 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyClinic/Center · PodiatricAmbulatory Health Care Facilities
Taxonomy Code261QP1100X
License✔ Licensed in ME · #POD1023
26 WOODVIEW DR, Bangor, ME 04401
Other Identifiers 1
Medicare UPIN393606ME
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1053795278, enumerated as an "organization" on July 17, 2015.
The provider is located at 26 WOODVIEW DR BANGOR, ME 04401 and the phone number is (502) 475-1915.
Clinic/Center with taxonomy code 261QP1100X and a focus in Podiatric.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.