Active NPIIndividual providerSole proprietor

Anna M Boniakowski, MD

Healthcare Provider in Portland, Maine

NPI Number1134565492
Practice location
887 Congress St Ste 400, Portland, ME 04102-3163
Fax
—
Last updated
June 16, 2020

Anna Marie Boniakowski is a Healthcare Provider based in Portland, ME. Anna Marie Boniakowski practices in Portland, ME and has the professional credentials of MD. The NPI Number for Anna Marie Boniakowski is 1134565492 and holds a License No. 4301102522 (MI). The current practice location address for Anna Marie Boniakowski is 887 Congress St Ste 400, Portland, ME 04102-3163 and can be reached out via phone at 207-662-7127.

Provider Profile Details

NPI Number
1134565492
Provider Name
Anna Marie Boniakowski
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
887 Congress St Ste 400, Portland, ME 04102-3163
Phone Number
207-662-7127
Primary Taxonomy
Healthcare Provider · 2086S0129X
Sole Proprietor
Yes
Provider Enumeration Date
May 14, 2013
Last Update Date
June 16, 2020
Certification Date
June 16, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
887 Congress St Ste 400
Portland, ME 04102-3163
State
Maine
Zip
04102-3163
Phone Number
207-662-7127
Portland, ME 04102Get directions →

Provider Business Mailing Address Details

Address
887 Congress St Ste 400
Portland, ME 04102-3163
City
Portland
State
ME
Zip
04102-3163

License Information

License Number (1)
4301102522
License State (1)
MI
License Number (2)
MD23596
License State (2)
ME
Taxonomy (2)
· 2086S0129X · Primary
License Number (3)
20463
License State (3)
NH
Taxonomy (3)
· 2086S0129X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Anna M Boniakowski, MD?

The NPI number of Anna M Boniakowski, MD is 1134565492. It was assigned on May 14, 2013 and is currently active in the NPPES registry.

What is the specialty of Anna M Boniakowski, MD?

Anna M Boniakowski, MD is registered under the primary taxonomy Healthcare Provider (code 2086S0129X), licensed in MI under license number 4301102522.

Where does Anna M Boniakowski, MD practice?

The practice location is 887 Congress St Ste 400, Portland, ME 04102-3163. The office can be reached at 207-662-7127 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1134565492 directly on the NPPES registry website.

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