Individual
JOSEPH ANTHONY SARDINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
915 UNION ST, BANGOR, ME 04401-8602
(207) 973-8030
(207) 973-6005
Mailing address
43 WHITING HILL RD STE 300, BREWER, ME 04412-1006
(207) 973-7000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
013598
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
098991
ANTHEM STAR
ME
01
—
119411700
FEDERAL W/C GROUP
ME
01
—
144828
AETNA GROUP
ME
01
—
203814
NHIC GROUP PTAN
ME
05
—
273680099
—
ME
01
—
2805818
CIGNA PROVIDER NUMBER
ME
Enumeration date
09/13/2006
Last updated
08/28/2019
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