Organization
MAINE MEDICAL PARTNERS
Active
Other names
Maine Medical Partners Cardiovascular Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
DONNA JAUREGUI (DIRECTOR PROVIDER ENROLLMENT & CVO)
(207) 661-5414
Entity
Organization
Contact information
Practice address
818 CONGRESS ST, PORTLAND, ME 04102-3112
(207) 773-8161
(207) 773-1489
Mailing address
190 RIVERSIDE STREET, PORTLAND, ME 04103
(207) 661-2095
(207) 661-2033
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
—
—
363AS0400X
Surgical Physician Assistant
—
—
363LA2100X
Acute Care Nurse Practitioner
—
—
363LA2200X
Adult Health Nurse Practitioner
—
—
Other
Enumeration date
02/24/2012
Last updated
12/13/2022
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