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Individual

GLENN D. GIANINI

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
5 CALDWELL RD, AUGUSTA, ME 04330-5739
(207) 623-1322
Mailing address
5 CALDWELL RD, AUGUSTA, ME 04330-5739
(207) 623-1322

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
1101
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
007722
ANTHEM
ME
01
1041115
AETNA
ME
01
2071665
CIGNA
ME
01
F54089
HARVARD PILGRIM
ME
Enumeration date
01/09/2006
Last updated
07/08/2007
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