Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Matthew Fasolino, DO

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1477081990

Matthew Fasolino, DO is a Student in an Organized Health Care Education/Training Program in Portland, Maine. Works from 2 locations. Licensed in Maine.

Licensed in
ME
In the registry since
2017
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

272 Congress St
Portland, ME 04101-3637
Phone: (207) 662-5856
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 341 Main St, Gorham, ME 04038-1309 — (207) 632-0763

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence DO2951 (ME)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1477081990
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedMay 29, 2017
Last updated in NPPESJuly 31, 2025
Certification dateJuly 31, 2025

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