Dr. John P Colianni
Family Doctor - Sports Medicine
331 Veranda St
Portland
, Maine 04103-5545
Dr. John P Colianni
Family Doctor - Sports Medicine
331 Veranda St
Portland
, Maine 04103-5545
(207) 828-7850
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About
Features
Specialties
- Family Doctor - Sports Medicine
Languages spoken
- English
Location
First Address
- Dr. John P Colianni
- Po Box 9746
- Portland, ME
- Zip : 04104-5040
- Fax : (207) 828-7850
- Phone : (207) 791-3888
Second Address
- Dr. John P Colianni
- 331 Veranda St
- Portland, ME
- Zip : 04103-5545
- Fax : (207) 828-2425
- Phone : (207) 828-2402
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207QS0010X | Family Doctor - Sports Medicine | 248856 | NY |
| N | 207QS0010X | Family Doctor - Sports Medicine | EC-08-1072 | ME |
| Y | 207QS0010X | Family Doctor - Sports Medicine | MD17891 | ME |
National Provider Identifier
| NPI | 1336264316 |
|---|---|
| Provider Name | Dr. John P Colianni |
| First Address | Portland, ME 04104-5040 |
| Second Address | Portland, ME 04103-5545 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 20/03/2007 |
| Last Update Date | 28/09/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.