GUY KOSITRATNA

BANGOR, ME
NPI1487017786
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207L00000X Anesthesiology
(Licence: ME  MD24010)
Additional Taxonomies207L00000X Anesthesiology
(Licence: FL  22872)
Enumeration Date2016-04-04
Last Update Date2022-02-03
Business Address
Mr. GUY KOSITRATNA M.D.
360 BROADWAY
BANGOR, ME 04401-3979
Phone number: 207-907-1430
Mailing Address
Mr. GUY KOSITRATNA M.D.
C/O ST MARYS HEALTH SYSTEM - PROVIDER ENROLLMENT PO BOX 7291
LEWISTON, ME 04243-7291
Phone number: 207-777-8941