Individual
JAMES RICHARD CIANCIOLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
1 NORTHEAST DR, BANGOR, ME 04401-4332
(207) 275-3800
Mailing address
1 NORTHEAST DR, BANGOR, ME 04401-4332
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
CNP241093
ME
Other
Enumeration date
03/18/2024
Last updated
06/19/2024
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