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Contact Information

JAMES D RAQUE, MD
149 NORTH STREET
WATERVILLE, ME04901-4974
 Phone: 207-873-0729
 Fax: 207-873-4338
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Vascular & Interventional Radiology

2085R0204X 94 Physician/Interventional Radiology
 

Diagnostic Radiology

2085R0202X 30 Physician/Diagnostic Radiology
Indicates primary specialty

NPI Profile & details for JAMES D RAQUE · (Male)

NPI Number 1043222334
Status Active
Credentials MD
Entity Individual
Enumeration date 08/13/2006
Last updated 08/15/2011 - About 15 years ago
Sole proprietor 1 No
Identifiers
  • CO License # 42012
  • ME License # 017660
  • CO Medicaid 50973550
  • ME Medicaid 1043222334
Hospital affiliation(s)
  • MAINE GENERAL MEDICAL CENTER - (Acute Care)
    35 MEDICAL CENTER PARKWAY
    AUGUSTA, ME 04330
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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