Individual provider · Type 1 NPI

John Luke Pontolillo, MD

Diagnostic Radiology Physician · Bangor, ME

NPI number 1790170926 Active

Practice location

489 State St
Bangor, ME 04401-6616

Mailing address

324 Gannett Dr Ste 200
South Portland, ME 04106-3266

Other practice locations

  • 701 Park Ave, Hcmc Dept. Of Radiology, Minneapolis, MN 55415-1623 · (612) 347-2121

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Diagnostic Radiology Physician Primary 2085R0202XMD24522 (ME)

Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

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About NPI 1790170926

John Luke Pontolillo, MD's National Provider Identifier is 1790170926, issued on Apr 3, 2015. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Bangor, ME. The record was last updated on May 7, 2021.