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NPI Verification

National Provider Identifier: 1992291249

Charles Kevin Bergeron Poulin

Individual Provider

Primary Specialty

Family Medicine

Code: 207Q00000X

Practice Address

76 HIGH ST

LEWISTON, ME 042407649

Phone: 207-795-2800

NPI Enumeration Date

July 10, 2018

NPI Number

1992291249

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry
Charles Kevin Bergeron Poulin - NPI 1992291249 | Provider Verification | HormoneMap