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General NPI Number Information
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NPI Number | 1134649775
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Entity Type | Individual
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Provider Name | MINAL F CORDEIRO MD
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Gender | Male
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Dates
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Enumeration Date | 06/25/2017
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Last Update Date | 09/08/2023
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Provider Practice Location Address
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Address Line | 4 GLEN COVE DR STE 206
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City | ROCKPORT
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State | ME
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Zip | 04856-4239
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Country | US
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Telephone | 207-301-8000
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Fax |
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Provider Business Mailing Address
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Address Line | 4 GLEN COVE DR STE 206
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City | ROCKPORT
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State | ME
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Zip | 04856-4239
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Country | US
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Telephone | 626-806-7647
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 4301502440
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 291003
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License Number State | MA
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Taxonomy #3
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Taxonomy Code | 207XS0114X
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Taxonomy Name | Adult Reconstructive Orthopaedic Surgery Physician
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License Number | MD27281
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License Number State | ME
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Taxonomy #4
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | MD27281
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License Number State | ME
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