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Charles Civiello, O.D
NPI 1528160025 · on the registry since 2006 · sole proprietor
Practice
- Address
- 105 Forest Ave
Bangor, ME 04401 - Phone
- (207) 942-5597
- Fax
- (207) 942-5597
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- Optometrist
152W00000X
- Licence states on file
- ME
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
- Status
- Not present in the most recent federal file
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Maine