NPI 1114380615

Joseph Dominic Mack, MD

Practitioner Colon & Rectal Surgery Physician Portland, ME

Practice location

Address: 22 Bramhall St, Portland, ME 04102-3134
Phone: (207) 662-0111

Registered specialties (2)

Colon & Rectal Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208C00000X Licence MD25668 (ME)

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Student in an Organized Health Care Education/Training Program

Student, Health Care Taxonomy 390200000X

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Registry record

NPI: 1114380615
Entity type: Individual
Sex (as registered): Male
NPI issued: 1 Apr 2016
Record last updated: 9 May 2022

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.