NPI 1245450832 · live from the CMS NPI Registry
Krystian W Bigosinski, MD
Family Medicine, Sports Medicine in South Portland, ME. National Provider Identifier 1245450832, active.
NPI record
| NPI | 1245450832 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Family Medicine, Sports Medicine 207QS0010X |
| Practice location | 100 Brickhill Avenue, Suite 303, South Portland, ME 04106 |
| Practice phone | 207-773-0040 |
| Mailing address | 301c Us Route One, Scarborough, ME 04074 |
| Enumerated | April 26, 2007 |
| Last updated | December 29, 2014 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine, Sports Medicine | 207QS0010X | 036121017 (IL) |
| Family Medicine, Sports Medicine primary | 207QS0010X | MD20416 (ME) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.