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Individual

DR. NOAH P DIMINICK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
22 BRAMHALL STREET, PORTLAND, ME 04102
(207) 662-2541
(412) 692-7038
Mailing address
301C US ROUTE ONE, SCARBOROUGH, ME 04074
(207) 396-8600
(207) 396-8632

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD20138
ME
208000000X
Pediatrics Physician
MD442713
PA
208000000X
Pediatrics Physician
MT193169
PA

Other

Enumeration date
08/26/2008
Last updated
06/04/2014
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