Individual
MICAELA MANGANELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
400 WESTERN AVE, SOUTH PORTLAND, ME 04106-1704
(207) 292-1306
Mailing address
50 ADAMS ST APT 1, BIDDEFORD, ME 04005-2995
Taxonomy
Speciality
Code
Description
License number
State
2083A0300X
Addiction Medicine (Preventive Medicine) Physician
Primary
RN72898
ME
Other
Enumeration date
09/20/2025
Last updated
09/20/2025
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