Individual
MICHAEL D DIGIANVITTORIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
22 BRAMHALL ST, PORTLAND, ME 04102-3134
(207) 662-7060
Mailing address
324 GANNETT DRIVE, SUITE 200, SOUTH PORTLAND, ME 04106
(207) 482-7861
(207) 482-7898
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
DO2637
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1568781789
—
ME
Enumeration date
05/27/2010
Last updated
08/18/2017
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