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Robert W Haeberlein Jr MD PA

NPI 1235629742ActiveOrganization· Dermatology· Bangor, ME

Dermatology in Bangor, Maine, registered in NPPES in May 2018, part of Robert W Haeberlein MD Jr PA. The authorized official on file is Shellie Lynn Wells, Office Manager.

Overview

NPI1235629742
StatusActive
Entity typeOrganization (subpart)
Parent organizationRobert W Haeberlein MD Jr PA
NPI issuedMay 10, 2018
Last updated in NPPESMay 10, 2018

Specialties and licenses

TaxonomyCodeLicenseState
Dermatology Primary207N00000XMD9794ME

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other Dermatology providers in Bangor

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