Individual
DR. MICHAEL P. ANASTASIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
770 CONGRESS ST, PORTLAND, ME 04102-3323
(207) 772-8384
(207) 773-0020
Mailing address
PO BOX 7487, PORTLAND, ME 04112-7487
(207) 885-8686
(207) 883-7154
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT738T
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
247310099
—
ME
Enumeration date
10/18/2005
Last updated
08/27/2013
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