JOHN TIVNAN

BANGOR, ME
NPI1518315142
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy208VP0014X Pain Medicine, Interventional Pain Medicine
(Licence: ME  DO3257)
Additional Taxonomies207LP2900X Anesthesiology, Pain Medicine
(Licence: ME  DO3257)
Enumeration Date2016-05-24
Last Update Date2023-01-17
Business Address
JOHN TIVNAN D.O.
1365 BROADWAY
BANGOR, ME 04401-2401
Phone number: 207-942-6226
Mailing Address
JOHN TIVNAN D.O.
1365 BROADWAY
BANGOR, ME 04401-2401
Phone number: 207-942-6226
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