Individual
ANNAMARIA SKACELOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
489 STATE ST, BANGOR, ME 04401-6616
(207) 973-8150
Mailing address
324 GANNETT DR STE 200, SOUTH PORTLAND, ME 04106-3266
(207) 482-7800
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD17249
ME
Other
Enumeration date
09/28/2006
Last updated
11/03/2015
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