Mainehealth
Mainehealth is a Pediatric Urology Physician in Portland, Maine. Registered with an NPI since 2007.
- In the registry since
- 2007
Practice location Address checks out
22 Bramhall StPortland, ME 04102
Phone: (207) 662-2179
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Pediatric Urology Physician (primary) | Taxonomy 2088P0231X |
|---|
Record details
| NPI number | 1457540486 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Lugene Inzana — Associate Cfo · (207) 662-3538 |
| Other names | Mmc Pediatric Urology; Mmc Pediatric Urology |
| NPI enumerated | October 16, 2007 |
| Last updated in NPPES | May 11, 2020 |
| Certification date | May 11, 2020 |
| Mailing address | 301 Us Route 1, Building C, Scarborough, ME 04074-7609 |