Individual
DR. MARJORIE ZYIREK-BACON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
22 BRAMHALL ST, PORTLAND, ME 04102-3134
(207) 662-3500
(207) 662-6006
Mailing address
22 BRAMHALL ST, PORTLAND, ME 04102-3134
(207) 662-3500
(207) 662-6006
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
76871
MA
207RC0000X
Cardiovascular Disease Physician
MD26026
ME
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
MD26026
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0011646
NEIGHBORHOOD HEALTH PLAN
—
01
—
060066747
RR MEDICARE
—
01
—
076871
TUFTS HEALTH PLAN
—
01
—
300273
HPHC
—
05
—
3102041
—
MA
01
—
94964
FALLON
—
01
—
J13099
BCBS
MA
Enumeration date
03/20/2006
Last updated
09/15/2025
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