CHARLES A CIVIELLO

BANGOR, ME
NPI1528160025
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy152W00000X Optometrist
(Licence: ME  621TA)
Enumeration Date2006-09-04
Last Update Date2007-07-08
Business Address
Dr. CHARLES A CIVIELLO O.D.
105 FOREST AVE
BANGOR, ME 04401-5316
Phone number: 207-942-5597
Mailing Address
Dr. CHARLES A CIVIELLO O.D.
PO BOX 8064
BANGOR, ME 04402-8064
Phone number: 207-942-5597
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