Individual
MICHAEL G TRANFAGLIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
887 CONGRESS ST, SUITE 400, PORTLAND, ME 04102-3100
(207) 774-6368
(207) 774-9388
Mailing address
1600B CONGRESS ST, PORTLAND, ME 04102-2124
(207) 774-6368
(207) 774-9388
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
PA-395
ME
363AS0400X
Surgical Physician Assistant
Primary
PA-395
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
278950099
—
ME
01
—
970019234
RR MEDICARE
ME
Enumeration date
01/06/2006
Last updated
09/25/2017
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