Individual
VINCENT N OLIVIERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
33 SEWALL ST, PORTLAND, ME 04102-2603
(207) 828-2100
Mailing address
324 GANNETT DR STE 200, SOUTH PORTLAND, ME 04106-3266
(207) 482-7800
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
00867
ME
207X00000X
Orthopaedic Surgery Physician
Primary
MD8679
ME
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
00867
ME
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
00867
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1952399644
—
ME
Enumeration date
10/07/2005
Last updated
09/09/2021
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