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Contact Information

IAN J BRISTOL, M.D.
22 BRAMHALL ST
PORTLAND, ME04102-3134
 Phone: 207-662-2276
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Radiation Oncology

2085R0001X 92 Physician/Radiation Oncology
Indicates primary specialty

NPI Profile & details for IAN J BRISTOL · (Male)

NPI # 1235357294
Status Active
Credentials M.D.
Entity Individual
Enumeration date 04/23/2007
Last updated 04/21/2026 - About 1 months ago
Sole proprietor 1 No
Identifiers
  • ME License # MD17399
  • NH License # 25134
Hospital affiliation(s)
  • MAINE MEDICAL CENTER - (Acute Care)
    22 BRAMHALL ST
    PORTLAND, ME 04102
  • MERCY HOSPITAL - (Acute Care)
    144 STATE STREET
    PORTLAND, ME 04101
  • MID COAST HOSPITAL - (Acute Care)
    123 MEDICAL CENTER DRIVE
    BRUNSWICK, ME 04011
  • PENOBSCOT BAY MEDICAL CENTER - (Acute Care)
    6 GLEN COVE DRIVE
    ROCKPORT, ME 04856
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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