Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MARY IACULLI, D.O.
Active Sole ProprietorDR. MARY IACULLI, D.O. is a Sports Medicine healthcare provider located in PORTLAND, Maine. NPI 1407266778 is currently active in the NPPES registry. Verify at CMS.
Sports Medicine · PORTLAND, ME
Registration Details
- NPI Number
- 1407266778
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 7, 2014 (12.226638796163 yrs)
- Last Updated
- Oct 2, 2020
- License
-
DO2695 (ME)
- Sole Proprietor
- Yes
Practice Information
- Address
-
331 VERANDA STPORTLAND, ME, 041035545Browse ME providers · Browse ZIP 04103
- Phone
- 2078282402
- Primary Specialty
-
Sports Medicine
207QS0010X
Other Sports Medicine Providers in PORTLAND, ME
| Name | Credential | NPI |
|---|---|---|
| DAVID SCOTT MARR | M.D. | 1760483721 |
| DR. WILLIAM W DEXTER | MD | 1396739520 |
| ALISON SAVAGE LEE | D.O. | 1114213667 |
| HEIDI WALLS | M.D. | 1902291446 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.