Organization
BANGOR MALL EYE ASSOCIATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN JOSEPH GIARDINA D.O. (OPTOMETRIST)
(207) 262-7192
Entity
Organization
Contact information
Practice address
663 STILLWATER AVE, BANGOR, ME 04401-3642
(207) 262-7192
Mailing address
663 STILLWATER AVE, BANGOR, ME 04401-3642
(207) 262-7192
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT805
ME
Other
Enumeration date
08/14/2006
Last updated
08/22/2020
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