Individual
JOHN NOONAN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
33 SEWALL ST, PORTLAND, ME 04102-2603
(207) 828-2100
Mailing address
33 SEWALL ST, PORTLAND, ME 04102-2603
(207) 828-2100
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA1545
ME
Other
Enumeration date
07/16/2015
Last updated
08/18/2025
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