Provider Demographics
NPI:1447465737
Name:BATLLE, OSCAR RAFAEL III (MD)
Entity type:Individual
Prefix:DR
First Name:OSCAR
Middle Name:RAFAEL
Last Name:BATLLE
Suffix:III
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:23 WASHINGTON ST
Mailing Address - Street 2:
Mailing Address - City:BREWER
Mailing Address - State:ME
Mailing Address - Zip Code:04412-1917
Mailing Address - Country:US
Mailing Address - Phone:504-717-9939
Mailing Address - Fax:
Practice Address - Street 1:1 RIDGEWOOD DR
Practice Address - Street 2:
Practice Address - City:BANGOR
Practice Address - State:ME
Practice Address - Zip Code:04401-2652
Practice Address - Country:US
Practice Address - Phone:207-945-6200
Practice Address - Fax:207-990-3015
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-11
Last Update Date:2015-01-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MEMD19883207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology