Organization
ANGELA C GILLADOGA MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA C GILLADOGA MD (PRESIDENT)
(207) 942-4108
Entity
Organization
Contact information
Practice address
417 STATE ST, SUITE 200, BANGOR, ME 04401-6630
(207) 942-4108
Mailing address
417 STATE ST, SUITE 200, BANGOR, ME 04401-6630
(207) 942-4108
Taxonomy
Speciality
Code
Description
License number
State
2080P0202X
Pediatric Cardiology Physician
Primary
008456
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
109580000
—
ME
Enumeration date
05/21/2009
Last updated
05/21/2009
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