| Micaela Manganello, | |
|
400 Western Ave, South Portland, ME 04106-1704 | |
| (207) 292-1306 | |
| Not Available |
| Full Name | Micaela Manganello |
|---|---|
| Gender | Female |
| Speciality | Preventive Medicine - Addiction Medicine |
| Location | 400 Western Ave, South Portland, Maine |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063384907 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2083A0300X | Preventive Medicine - Addiction Medicine | RN72898 (Maine) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Micaela Manganello, 50 Adams St Apt 1, Biddeford, ME 04005-2995 Ph: () - | Micaela Manganello, 400 Western Ave, South Portland, ME 04106-1704 Ph: (207) 292-1306 |
Debra J. Daniels, RN Preventive Medicine Medicare: Not Enrolled in Medicare Practice Location: 333 Western Ave, South Portland, ME 04106 Phone: 123-456-7890 | |
Dr. Kinna Thakarar, DO Preventive Medicine Medicare: Accepting Medicare Assignments Practice Location: 50 Foden Rd, Ste 3, South Portland, ME 04106 Phone: 207-774-5816 Fax: 207-523-8594 | |
Dr. William F. Boucher Jr., MD,MPH, FACOEM Preventive Medicine Medicare: Not Enrolled in Medicare Practice Location: 725 Main St, South Portland, ME 04106 Phone: 207-879-0404 Fax: 207-879-0606 |