Individual provider · Type 1 NPI
Joanmarie Dietz Pellegrini, MD
Trauma Surgery Physician · Bangor, ME
Practice location
360 Broadway
Bangor, ME 04401-3979
Fax (207) 907-3660
Mailing address
C/o St Marys Health System - Provider Enrollment, PO Box 7291
Lewiston, ME 04243-7291
Other practice locations
- 489 State St, Bangor, ME 04401-6616 · (207) 973-7000
- 70 East St, Methuen, MA 01844-4597 · (978) 956-3181
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgery Physician | 208600000X | 036-138577 (IL) |
| Surgery Physician | 208600000X | 81948 (MA) |
| Trauma Surgery Physician | 2086S0127X | 81948 (MA) |
| Trauma Surgery Physician | 2086S0127X | 015414 (ME) |
| Trauma Surgery Physician Primary | 2086S0127X | MD15414 (ME) |
Trauma Surgery Physician: Trauma surgery is a recognized subspecialty of general surgery. Trauma surgeons are physicians who have completed a five-year general surgery residency and usually continue with a one to two year fellowship in trauma and/or surgical critical care, typically leading to additional board certification in surgical critical care. There is no trauma surgery board certification at this point. To obtain board certification …
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About NPI 1265402242
Joanmarie Dietz Pellegrini, MD's National Provider Identifier is 1265402242, issued on Jan 24, 2006. The primary taxonomy on file is Trauma Surgery Physician (2086S0127X), and the practice location is in Bangor, ME. The record was last updated on Feb 3, 2022.