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Organization

MAINE MEDICAL PARTNERS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DONNA JAUREGUI (DIR-PRVDR ENROLLMENT & CVO, MHMG PA)
(207) 661-5414
Entity
Organization

Contact information

Practice address
92 CAMPUS DRIVE, 3RD FLOOR, SCARBOROUGH, ME 04074
(207) 774-6368
(207) 774-9388
Mailing address
300 SOUTHBOROUGH DR, SOUTH PORTLAND, ME 04106-6914
(207) 661-2000
(207) 661-2033

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
207RH0003X
Hematology & Oncology Physician
208600000X
Surgery Physician
Primary
208C00000X
Colon & Rectal Surgery Physician

Other

Enumeration date
06/03/2013
Last updated
12/13/2022
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