Provider Demographics
NPI:1861515330
Name:BIELECKI, JOHN TAYLOR (MD, MPH)
Entity type:Individual
Prefix:
First Name:JOHN
Middle Name:TAYLOR
Last Name:BIELECKI
Suffix:
Gender:M
Credentials:MD, MPH
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:39 PINEWOOD DR
Mailing Address - Street 2:
Mailing Address - City:BELGRADE
Mailing Address - State:ME
Mailing Address - Zip Code:04917-3500
Mailing Address - Country:US
Mailing Address - Phone:207-495-2302
Mailing Address - Fax:
Practice Address - Street 1:30 CHASE AVE
Practice Address - Street 2:
Practice Address - City:WATERVILLE
Practice Address - State:ME
Practice Address - Zip Code:04901-4624
Practice Address - Country:US
Practice Address - Phone:207-872-4260
Practice Address - Fax:207-872-4034
Is Sole Proprietor?:No
Enumeration Date:2007-04-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
ME11495202C00000X, 2083P0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered202C00000XAllopathic & Osteopathic PhysiciansIndependent Medical Examiner
Not Answered2083P0500XAllopathic & Osteopathic PhysiciansPreventive MedicinePreventive Medicine/Occupational Environmental Medicine