DR. Mary Iaculli, D.O.

NPI #1407266778 in Portland, Maine

Provider Information

NPI Number
1407266778
Entity Type
Individual
Name
DR. Mary Iaculli, D.O.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Family Medicine - Sports Medicine
Credential
D.O.
Enumeration Date
May 7, 2014
Last Updated
Oct 2, 2020

Practice Location

Address
331 VERANDA ST
State
Maine
ZIP Code
04103-5545
Phone
(207) 828-2402

Specialties & Taxonomy Codes

Specialty
Family Medicine - Sports MedicineSports Medicine

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