Individual
KRISTINA A GILES-MAGNIFICO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
887 CONGRESS ST STE 400, PORTLAND, ME 04102-3163
(207) 774-6368
Mailing address
887 CONGRESS ST STE 400, PORTLAND, ME 04102-3163
(207) 774-6368
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
232850
MA
208600000X
Surgery Physician
Primary
MD23932
ME
2086S0129X
Vascular Surgery Physician
ME120737
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
012882300
—
FL
Enumeration date
07/26/2007
Last updated
09/28/2020
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