Individual provider · Type 1 NPI

Micaela Manganello

Addiction Medicine (Preventive Medicine) Physician · South Portland, ME

NPI number 1063384907 Active

Practice location

400 Western Ave
South Portland, ME 04106-1704

Mailing address

50 Adams St Apt 1
Biddeford, ME 04005-2995

Specialties and licenses

TaxonomyCodeLicense
Addiction Medicine (Preventive Medicine) Physician Primary 2083A0300XRN72898 (ME)

Addiction Medicine (Preventive Medicine) Physician: A physician engaged in the subspecialty practice of Addiction Medicine who specializes in the prevention, evaluation, diagnosis, treatment, and recovery of persons with the disease of addiction.

39 other providers at this address

About NPI 1063384907

Micaela Manganello's National Provider Identifier is 1063384907, issued on Sep 20, 2025. The primary taxonomy on file is Addiction Medicine (Preventive Medicine) Physician (2083A0300X), and the practice location is in South Portland, ME. The record was last updated on Sep 20, 2025.