IndividualActive
Connor Cackovic, DO
NPI 1336907906 · Undersea and Hyperbaric Medicine (Preventive Medicine) Physician · Kittery, ME
Provider details
- NPI number
- 1336907906
- Entity type
- Individual
- Primary specialty
- Undersea and Hyperbaric Medicine (Preventive Medicine) PhysicianAllopathic & Osteopathic Physicians
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
- License
- 011862 (AZ)
Specialties & taxonomies
- Undersea and Hyperbaric Medicine (Preventive Medicine) PhysicianPrimary2083P0011XLicense 011862 (AZ)
Allopathic & Osteopathic Physicians
Practice location
402 Goodrich Ave
Kittery, ME 03904
Phone: (888) 628-9633
Approximate (ZIP-level) locationGet directions
Mailing address
402 Goodrich Avenue
Kittery, ME 03904
Registry dates
- Enumerated
- 2024-03-08
- Last updated
- 2026-03-05
- Certified
- 2026-03-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.