Active NPIIndividual provider

Dr. Joseph J Minissale Jr., DO

Internal Medicine, Gastroenterology in Rockport, Maine

NPI Number1366441354
Practice location
4 Glen Cove Dr, Rockport, ME 04856-4235
Fax
—
Last updated
December 28, 2021

Joseph J Minissale is an Internal Medicine, Gastroenterology based in Rockport, ME. Joseph J Minissale practices in Rockport, ME and has the professional credentials of DO. The NPI Number for Joseph J Minissale is 1366441354 and holds a License No. DO2986 (ME). The current practice location address for Joseph J Minissale is 4 Glen Cove Dr, Rockport, ME 04856-4235 and can be reached out via phone at 207-301-5790.

Provider Profile Details

NPI Number
1366441354
Provider Name
Joseph J Minissale
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
4 Glen Cove Dr, Rockport, ME 04856-4235
Phone Number
207-301-5790
Primary Taxonomy
Internal Medicine, Gastroenterology · 207RG0100X
Sole Proprietor
No
Provider Enumeration Date
July 20, 2005
Last Update Date
December 28, 2021
Certification Date
December 28, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
4 Glen Cove Dr
Rockport, ME 04856-4235
State
Maine
Zip
04856-4235
Phone Number
207-301-5790
Rockport, ME 04856Get directions →

Provider Business Mailing Address Details

Address
701 Ostrum St Ste 201
Fountain Hill, PA 18015-1152
City
Fountain Hill
State
PA
Zip
18015-1152
Phone Number
484-526-6545
Fax Number
484-526-6546

License Information

License Number (1)
DO2986
License State (1)
ME
Taxonomy (1)
Internal Medicine, Gastroenterology · 207RG0100X
License Number (2)
OS007619L
License State (2)
PA
Taxonomy (2)
Internal Medicine, Gastroenterology · 207RG0100X · Primary

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 Dr. Joseph J Minissale Jr., DO?

The NPI number of Dr. Joseph J Minissale Jr., DO is 1366441354. It was assigned on July 20, 2005 and is currently active in the NPPES registry.

What is the specialty of Dr. Joseph J Minissale Jr., DO?

Dr. Joseph J Minissale Jr., DO is registered under the primary taxonomy Internal Medicine, Gastroenterology (code 207RG0100X), licensed in ME under license number DO2986.

Where does Dr. Joseph J Minissale Jr., DO practice?

The practice location is 4 Glen Cove Dr, Rockport, ME 04856-4235. The office can be reached at 207-301-5790 (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 1366441354 directly on the NPPES registry website.

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