Individual
DR. JOHN P COLIANNI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
50 FODEN RD, SOUTH PORTLAND, ME 04106-1718
(207) 523-8500
Mailing address
100 GANNETT DR STE C, SOUTH PORTLAND, ME 04106-5900
(207) 347-2947
(207) 874-2317
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
248856
NY
207QS0010X
Sports Medicine (Family Medicine) Physician
EC-08-1072
ME
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
MD17891
ME
Other
Enumeration date
03/20/2007
Last updated
03/03/2026
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