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Individual

PETER E GIUSTRA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
6 GLEN COVE DR, ROCKPORT, ME 04856-4240
(207) 596-8000
Mailing address
PO BOX 1849, LEWISTON, ME 04241-1849
(207) 784-2554
(207) 783-4079

Taxonomy

Speciality
Code
Description
License number
State
207U00000X
Nuclear Medicine Physician
006374
ME
2085R0202X
Diagnostic Radiology Physician
Primary
006374
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
303680099
ME
Enumeration date
06/13/2005
Last updated
08/04/2008
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