Organization
MARIA G IKOSSI MD PHD FACS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA G IKOSSI MD PHD FACS (CEO)
(207) 782-5424
Entity
Organization
Contact information
Practice address
10 HIGH ST, SUITE 303, LEWISTON, ME 04240
(207) 782-5424
(207) 782-1136
Mailing address
10 HIGH ST, SUITE 303, LEWISTON, ME 04240
(207) 782-5424
(207) 782-1136
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
012822
ME
208600000X
Surgery Physician
C52151
CA
Other
Enumeration date
11/02/2006
Last updated
08/22/2020
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