Organization
MAINEHEALTH
Active
Parent organization
MAINEHEALTH
Other names
Maine Medical Partners Endocrinlogy & Diabetes
Organization subpart
Yes
Provider details
NPI number
Legal business name
MAINEHEALTH
Authorized official
LUGENE ANTHONY INZANA (ASSOCIATE CFO)
(207) 662-3538
Entity
Organization
Contact information
Practice address
175 US ROUTE 1, SCARBOROUGH, ME 04074
(207) 885-7700
(207) 885-7701
Mailing address
22 BRAMHALL ST, PORTLAND, ME 04102-3134
(207) 662-6562
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
—
—
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
—
—
282N00000X
General Acute Care Hospital
37563
ME
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
10/15/2010
Last updated
12/19/2022
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