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Individual

DR. FLAVIAN MARK LUPINETTI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
417 STATE ST, SUITE 421, BANGOR, ME 04401-6630
(207) 973-5293
(207) 973-5293
Mailing address
43 WHITING HILL RD, SUITE 300, BREWER, ME 04412-1005
(207) 973-5293

Taxonomy

Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
0101246909
VA
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
19850
ME
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
26248
OR
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
MD2011-0212
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1023732750001
PA
Enumeration date
02/14/2006
Last updated
11/08/2017
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