Individual
GARY DIPERNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1600B CONGRESS ST, PORTLAND, ME 04102-2124
(207) 774-5222
(207) 761-4433
Mailing address
1600B CONGRESS ST, PORTLAND, ME 04102-2124
(207) 774-5222
(207) 761-4433
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
DO2511
ME
Other
Enumeration date
06/29/2011
Last updated
11/30/2016
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