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Contact Information

ANGELA C GILLADOGA MD
417 STATE ST
SUITE 200
BANGOR, ME04401-6630
 Phone: 207-942-4108
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatric Cardiology

2080P0202X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for ANGELA C GILLADOGA MD

NPI # 1518192459
LBN Legal business name ANGELA C GILLADOGA MD
Authorized official ANGELA GILLADOGA - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 05/21/2009
Last updated 05/21/2009 - About 17 years ago
Identifiers
ME License # 008456
ME Medicaid 109580000
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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