Provider Demographics
NPI:1457450041
Name:RUNDEN, INGRID EVE (MD)
Entity Type:Individual
Prefix:DR
First Name:INGRID
Middle Name:EVE
Last Name:RUNDEN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:304 HANCOCK ST
Mailing Address - Street 2:SUITE 2D
Mailing Address - City:BANGOR
Mailing Address - State:ME
Mailing Address - Zip Code:04401-6573
Mailing Address - Country:US
Mailing Address - Phone:207-561-3651
Mailing Address - Fax:207-945-3175
Practice Address - Street 1:304 HANCOCK ST
Practice Address - Street 2:SUITE 2D
Practice Address - City:BANGOR
Practice Address - State:ME
Practice Address - Zip Code:04401-6573
Practice Address - Country:US
Practice Address - Phone:207-561-3651
Practice Address - Fax:207-945-3175
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY1443082084P0800X, 2084P0805X
CAG498922084P0800X, 2084P0805X
NJ390742084P0800X, 2084P0805X
PAMD045554L2084P0800X, 2084P0805X
NC360272084P0800X, 2084P0805X
ME126052084P0800X, 2084P0805X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Not Answered2084P0805XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyGeriatric Psychiatry