NPI 1063384907

Micaela Manganello

Practitioner Addiction Medicine (Preventive Medicine) Physician South Portland, ME

Practice location

Address: 400 Western Ave, South Portland, ME 04106-1704
Phone: (207) 292-1306
Mailing address: 50 Adams St APT 1, Biddeford, ME 04005-2995

Registered specialties

Addiction Medicine (Preventive Medicine) Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2083A0300X Licence RN72898 (ME)

Other Preventive Medicine providers in Maine →

Registry record

NPI: 1063384907
Entity type: Individual
Sex (as registered): Female
NPI issued: 20 Sep 2025
Record last updated: 20 Sep 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.