NPI 1003113127

Mainehealth

Organisation Orthopaedic Trauma Physician Portland, ME

Practice location

Address: 335 Brighton Ave Suite 200, Portland, ME 04102-2363
Phone: (207) 662-8600
Fax: (207) 662-8668
Mailing address: 22 Bramhall St, Portland, ME 04102-3134

Authorised official

Name: Lugene Anthony Inzana
Title: Associate Cfo
Phone: (207) 662-3538

Registered specialties (3)

Orthopaedic Trauma Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207XX0801X

Other Orthopaedic Surgery providers in Maine →

General Acute Care Hospital

Hospitals Taxonomy 282N00000X Licence 37563 (ME)

Other General Acute Care Hospital providers in Maine →

Surgical Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AS0400X

Other Physician Assistant providers in Maine →

Registry record

NPI: 1003113127
Entity type: Organization
NPI issued: 25 Feb 2011
Record last updated: 11 May 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.