Organization
MAINEHEALTH
Active
Parent organization
MAINE MEDICAL CENTER
Other names
Maine Medical Partners Scarborough Family Medicine
Organization subpart
Yes
Provider details
NPI number
Legal business name
MAINE MEDICAL CENTER
Authorized official
LUGENE ANTHONY INZANA (SVP FINANCE/CFO)
(207) 662-3538
Entity
Organization
Contact information
Practice address
300 PROFESSIONAL DR, SCARBOROUGH, ME 04074
(207) 883-3491
(207) 883-5587
Mailing address
22 BRAMHALL ST, PORTLAND, ME 04102-3134
(207) 662-6562
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
282N00000X
General Acute Care Hospital
37563
ME
Other
Enumeration date
07/26/2010
Last updated
12/19/2022
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