Individual
STEPHEN S. DIGIOVANNI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
22 BRAMHALL ST, PORTLAND, ME 04102-3134
(207) 662-6179
Mailing address
137 EMERY ST, PORTLAND, ME 04102-3731
(207) 415-9584
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
015471
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000203060
—
ME
Enumeration date
10/03/2006
Last updated
02/14/2013
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