NPI 1174897078
Maine Medical Partners
Practice location
- Address
- 818 Congress St, Portland, ME 04102-3112
- Phone
- (207) 773-8161
- Fax
- (207) 773-1489
- Mailing address
- 190 Riverside Street, Portland, ME 04103
Authorised official
- Name
- Donna Jauregui
- Title
- Director Provider Enrollment & Cvo
- Phone
- (207) 661-5414
Registered specialties (4)
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
Surgical Physician Assistant
Acute Care Nurse Practitioner
Adult Health Nurse Practitioner
Registry record
- NPI
- 1174897078
- Entity type
- Organization
- NPI issued
- 24 Feb 2012
- Record last updated
- 13 Dec 2022
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.