NPI 1679887277

Mainehealth

Organisation Obstetrics & Gynecology Physician Portland, ME

Practice location

Address: 887 Congress St Suite 200, Portland, ME 04102-3100
Phone: (207) 771-5549
Fax: (207) 771-7834
Mailing address: 22 Bramhall St, Portland, ME 04102-3134

Authorised official

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

Registered specialties (2)

Obstetrics & Gynecology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207V00000X

Other Obstetrics & Gynecology providers in Maine →

General Acute Care Hospital

Hospitals Taxonomy 282N00000X Licence 37563 (ME)

Other General Acute Care Hospital providers in Maine →

Registry record

NPI: 1679887277
Entity type: Organization
NPI issued: 6 Aug 2010
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.