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Organization
MAINEHEALTH
Active
Organization
MAINEHEALTH
Active
Parent organization
MAINEHEALTH
Other names
Maine Medical Partners Pediatrics
Organization subpart
Yes
Provider details
NPI number
Legal business name
MAINEHEALTH
Authorized official
LUGENE ANTHONY INZANA (SVP FINANCE/CFO)
(207) 662-3538
Entity
Organization
Contact information
Practice address
5 BUCKNAM RD, SUITE 1D, FALMOUTH, ME 04105
(207) 781-1775
(207) 781-1780
Mailing address
22 BRAMHALL ST, PORTLAND, ME 04102-3134
(207) 662-6562
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
282N00000X
General Acute Care Hospital
37563
ME
Other
Enumeration date
08/02/2010
Last updated
12/19/2022
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