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Contact Information

ROBERT M WHITEHOUSE, MD
417 STATE ST
BANGOR, ME04401-6630
 Phone: 207-973-8833
 Fax: 207-973-8836
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nephrology

207RN0300X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for ROBERT M WHITEHOUSE · (Male)

NPI # 1831189596
Status Active
Credentials MD
Entity Individual
Enumeration date 10/25/2005
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 Not specified
Identifiers
  • ME License # 016759
  • ME Other 061395 BLUE CROSS/BLUE SHIELD
Hospital affiliation(s)
  • MIDSTATE MEDICAL CENTER - (Acute Care)
    435 LEWIS AVE
    MERIDEN, CT 06450
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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