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Individual

JOHN J PADAVANO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
55 BAXTER BLVD, PORTLAND, ME 04101-1801
(207) 773-7428
(207) 842-6229
Mailing address
55 BAXTER BLVD, PORTLAND, ME 04101-1801
(207) 773-7428
(207) 842-6229

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
1071
ME

Other

Enumeration date
03/03/2006
Last updated
12/28/2007
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