NPI 1093077703

Stacey Anne Rotta, MD

Practitioner Surgical Critical Care Physician Portland, ME

Practice location

Address: 887 Congress St, Portland, ME 04102-3100
Phone: (207) 774-6368

Registered specialties (2)

Surgical Critical Care Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2086S0102X Licence MD23505 (ME)

Other Surgery providers in Maine →

Surgical Critical Care Physician

Allopathic & Osteopathic Physicians Taxonomy 2086S0102X Licence A156409 (CA)

Registry record

NPI: 1093077703
Entity type: Individual
Sex (as registered): Female
NPI issued: 10 Jun 2012
Record last updated: 23 Mar 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.