IndividualActive
Charles Pattavina, MD
NPI 1417973405 · Emergency Medicine Physician · Bangor, ME
Provider details
- NPI number
- 1417973405
- Entity type
- Individual
- Primary specialty
- Emergency Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- MD17854 (ME)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
360 Broadway
Bangor, ME 04401-3979
Phone: (207) 907-3000
Fax: (207) 907-1921
Approximate (ZIP-level) locationGet directions
Mailing address
C/O St Marys Health System - Provider Enrollment
Lewiston, ME 04243-7291
Additional practice locations (1)
- 1012 Union StBangor, ME 04401-3060Phone: (207) 404-8100
Registry dates
- Enumerated
- 2006-07-14
- Last updated
- 2022-02-03
- Certified
- 2022-02-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.