NPI 1164610242

Mainehealth

Organisation Geriatric Medicine (Internal Medicine) Physician Portland, ME

Practice location

Address: 22 Bramhall St, Portland, ME 04102
Phone: (207) 662-6353
Mailing address: 301 US Route 1 Building C, Scarborough, ME 04074-7609

Authorised official

Name: Lugene Anthony Inzana
Title: Svp Finance/Cfo
Phone: (207) 662-3538

Registered specialties (2)

Geriatric Medicine (Internal Medicine) Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207RG0300X

Other Internal Medicine providers in Maine →

Geriatric Medicine (Family Medicine) Physician

Allopathic & Osteopathic Physicians Taxonomy 207QG0300X

Other Family Medicine providers in Maine →

Registry record

NPI: 1164610242
Entity type: Organization
NPI issued: 15 Oct 2007
Record last updated: 1 Apr 2025

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.