Individual provider · NPI-1

Stephen S. Digiovanni, M.D.

Pediatrics, Adolescent Medicine · Portland, ME

NPI number1649365016
StatusActive
Last updated in NPPESFeb 14, 2013

Details

NPI
1649365016
Entity type
Individual (NPI-1)
Name
Stephen S. Digiovanni
Credential
M.D.
Sex
Male
Sole proprietor
No
Enumeration date
Oct 3, 2006
Last updated
Feb 14, 2013

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2080A0000X Pediatrics, Adolescent Medicine015471MEYes

Practice location

22 Bramhall St
Portland, ME 04102-3134

Phone 207-662-6179

Mailing address

137 Emery St
Portland, ME 04102-3731

Phone 207-415-9584

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