Individual
DR. MICHAEL JOHN FESTINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
42 NORTH ST, SACO, ME 04072-1903
(207) 282-1559
Mailing address
42 NORTH ST, SACO, ME 04072-1903
(207) 282-1559
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
006038
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002159
ANTHEM STAR ID
ME
05
—
104910000
—
ME
Enumeration date
08/17/2005
Last updated
09/22/2010
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