Individual
DR. JOHN GAROFALO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200 KENNEDY MEMORIAL DR, WATERVILLE, ME 04901-4526
(207) 861-3200
(207) 861-3210
Mailing address
200 KENNEDY MEMORIAL DR, WATERVILLE, ME 04901-4526
(207) 861-3055
(207) 861-3025
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD10699
ME
207Q00000X
Family Medicine Physician
010699
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
116010300
—
ME
Enumeration date
01/25/2007
Last updated
01/21/2016
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