# CENTRAL MAINE ORTHOPAEDICS AMBULATORY SURGERY CENTER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1578690848
- **Authorized official:** MATTHEW DONALD BUSH MD (PHYSICIAN/PRESIDENT)
- **Authorized official phone:** (207) 783-1328

## Contact information

- **Practice address:** 690 MINOT AVE, SUITE ONE, AUBURN, ME 04210-3922
- **Practice address phone:** (207) 783-1315
- **Practice address fax:** (207) 786-3576
- **Mailing address:** 690 MINOT AVE, SUITE ONE, AUBURN, ME 04210-3922
- **Mailing address phone:** (207) 783-1315
- **Mailing address fax:** (207) 786-3576

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | — | NULL | — |
| 207X00000X | Orthopaedic Surgery Physician | — | — | — |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | — |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | — |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | NULL | — |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | — | — |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 36418 | ME | Yes |

## Other

- **Enumeration date:** 02/27/2007
- **Last updated:** 10/07/2011