Individual provider · Type 1 NPI

Angela Diane Bacchiocchi, PA-C

Surgical Physician Assistant · Bangor, ME

NPI number 1457607244 Active

Practice location

417 State St, Suite 221
Bangor, ME 04401-6630

Call (207) 973-9949 Map

Mailing address

909 Blackstream Rd
Hermon, ME 04401-0207

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XPA1350 (ME)

Surgical Physician Assistant: Definition to come...

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About NPI 1457607244

Angela Diane Bacchiocchi, PA-C's National Provider Identifier is 1457607244, issued on Jul 30, 2012. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Bangor, ME. The record was last updated on Jul 30, 2012.