Organization
MAINEHEALTH
Active
Other names
MMP Surgical Care
Organization subpart
No
Provider details
NPI number
Authorized official
LUGENE ANTHONY INZANA (ASSOCIATE CFO)
(207) 662-3538
Entity
Organization
Contact information
Practice address
887 CONGRESS ST, SUITE 400, PORTLAND, ME 04102
(207) 774-6368
(207) 774-9388
Mailing address
301C US ROUTE 1, SCARBOROUGH, ME 04074-9701
(207) 396-8600
(207) 396-8632
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
282N00000X
General Acute Care Hospital
38227
ME
Other
Enumeration date
06/05/2013
Last updated
12/19/2022
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