NPI 1609186097
Mainehealth
Practice location
- Address
- 49 Spring St 1st Floor, Scarborough, ME 04074
- Phone
- (207) 885-0011
- Fax
- (207) 885-5851
- Mailing address
- 22 Bramhall St, Portland, ME 04102-3134
Authorised official
- Name
- Lugene Anthony Inzana
- Title
- Associate Cfo
- Phone
- (207) 662-3538
Registered specialties (9)
Neurological Surgery Physician
Primary
Neuromusculoskeletal Medicine & OMM Physician
Pain Medicine (Anesthesiology) Physician
Orthopaedic Surgery Physician
Physical Medicine & Rehabilitation Physician
General Acute Care Hospital
Physician Assistant
Surgical Physician Assistant
Family Nurse Practitioner
Registry record
- NPI
- 1609186097
- Entity type
- Organization
- NPI issued
- 19 Oct 2010
- Record last updated
- 28 Jun 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.