Individual
ENRIQUE A FEOLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
498 ESSEX ST, SUITE 105, BANGOR, ME 04401-3990
(207) 947-0558
(207) 947-0344
Mailing address
498 ESSEX ST, SUITE 105, BANGOR, ME 04401-3990
(207) 947-0558
(207) 947-0344
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
016111
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
060521
ANTHEM BLUE SHIELD
ME
05
—
305470099
—
ME
01
—
3261081
CIGNA
ME
01
—
7212513
AETNA
ME
Enumeration date
07/19/2006
Last updated
07/07/2010
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