Mark Piccirillo, M.D.
Radiology, Diagnostic Radiology in Bangor, ME. Individual provider (NPI-1).
NPI number1720162290
StatusActive
Last updated in NPPESNov 3, 2015
Details
- NPI
- 1720162290
- Entity type
- Individual (NPI-1)
- Name
- Mark Piccirillo
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 24, 2006
- Last updated
- Nov 3, 2015
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2085R0202X | Radiology, Diagnostic Radiology | MD12499 | ME | Yes |
Practice location
489 State StBangor, ME 04401-6616
Phone 207-973-8150
Mailing address
324 Gannett Dr Ste 200South Portland, ME 04106-3266
Phone 207-482-7800
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