Provider Demographics
NPI:1508884974
Name:FLANAGAN, TERRENCE W (MD)
Entity Type:Individual
Prefix:DR
First Name:TERRENCE
Middle Name:W
Last Name:FLANAGAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:6 E CHESTNUT ST
Mailing Address - Street 2:MAINEGENERAL MEDICAL CENTER
Mailing Address - City:AUGUSTA
Mailing Address - State:ME
Mailing Address - Zip Code:04330-5717
Mailing Address - Country:US
Mailing Address - Phone:207-626-1303
Mailing Address - Fax:207-626-1648
Practice Address - Street 1:6 E CHESTNUT ST
Practice Address - Street 2:MAINEGENERAL MEDICAL CENTER
Practice Address - City:AUGUSTA
Practice Address - State:ME
Practice Address - Zip Code:04330-5717
Practice Address - Country:US
Practice Address - Phone:207-626-1303
Practice Address - Fax:207-626-1648
Is Sole Proprietor?:No
Enumeration Date:2006-07-17
Last Update Date:2008-10-01
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
ME011060207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MEB86620Medicare UPIN
ME01550501Medicare PIN