DR. THOMAS VANIDESTINE JR., DC, CCSP

Chiropractor

Active Individual
NPI: 1538108022

Practice Address

336 MOUNT HOPE AVE
SUITE 11
Bangor, ME 04401

Phone: (207) 942-2800

Specialties

Specialty Code Primary License
Chiropractor 111N00000X Yes CR814 (ME)

Frequently Asked Questions

NPI 1538108022 is the National Provider Identifier for DR. THOMAS VANIDESTINE JR., DC, CCSP, a Chiropractor provider located in Bangor, ME. This NPI was enumerated on June 6, 2006.
DR. THOMAS VANIDESTINE JR., DC, CCSP practices at 336 MOUNT HOPE AVE, SUITE 11, Bangor, ME 04401.

Quick Facts

NPI
1538108022
Type
Individual
Enumerated
Jun 6, 2006
Last Updated
Dec 1, 2016

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