Garofalo, John

Garofalo, John is an individual health care provider with primary practice located at 200 Kennedy Memorial Dr , Waterville ME 04901-4526. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Garofalo, John can be contacted via phone (207) 861-3200.

Contact Information

Primary practice address
200 Kennedy Memorial Dr Waterville ME 04901-4526
Phone: (207) 861-3200
Fax: (207) 861-3210
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 010699 Maine
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X MD10699 Maine

Profile Details

NPI number 1659426989
LBN Legal business name Garofalo, John
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 25th, 2007
Last updated Jan 21st, 2016 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1659426989 NPPES
Maine MEDICAID 116010300

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