Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Shaw House

Organization Family Medicine Physician · NPI 1760575609

Shaw House is a Family Medicine Physician in Bangor, Maine. Registered with an NPI since 2006.

In the registry since
2006

Practice location Address checks out

1048 Union St Ste 5
Bangor, ME 04401-8601
Phone: (207) 945-5247
Fax: (207) 992-2154
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1760575609
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Thomas Kohl — Cfo · (207) 945-5247
NPI enumeratedOctober 2, 2006
Last updated in NPPESAugust 22, 2020
Mailing address136 Union St, Bangor, ME 04401-6327

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