Individual
CONNOR CACKOVIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
402 GOODRICH AVE, KITTERY, ME 03904
(888) 628-9633
Mailing address
402 GOODRICH AVENUE, KITTERY, ME 03904
Taxonomy
Speciality
Code
Description
License number
State
2083P0011X
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
Primary
011862
AZ
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/08/2024
Last updated
03/05/2026
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