Individual
DR. KRISTEN A SCIACCA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
22 BRAMHALL ST, PORTLAND, ME 04102
(207) 662-2911
(207) 662-6006
Mailing address
22 BRAMHALL ST, PORTLAND, ME 04102
(207) 662-2911
(207) 662-6006
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD16435
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30207566
—
NH
05
—
432684399
—
ME
Enumeration date
10/04/2006
Last updated
02/06/2013
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