JOANMARIE DIETZ PELLEGRINI

BANGOR, ME
NPI1265402242
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2086S0127X Surgery, Trauma Surgery
(Licence: ME  MD15414)
Additional Taxonomies208600000X Surgery
(Licence: IL  036-138577)
208600000X Surgery
(Licence: MA  81948)
2086S0127X Surgery, Trauma Surgery
(Licence: MA  81948)
2086S0127X Surgery, Trauma Surgery
(Licence: ME  015414)
Enumeration Date2006-01-24
Last Update Date2022-02-03
Business Address
JOANMARIE DIETZ PELLEGRINI M.D.
360 BROADWAY
BANGOR, ME 04401-3979
Phone number: 207-907-3650
Mailing Address
JOANMARIE DIETZ PELLEGRINI M.D.
C/O ST MARYS HEALTH SYSTEM - PROVIDER ENROLLMENT PO BOX 7291
LEWISTON, ME 04243-7291
Phone number: 207-777-8560